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What is RAFI?

  • May 28
  • 3 min read

Open reduction and internal fixation, known as ORIF, is a surgical procedure used to treat fractures by directly exposing the bone and placing osteosynthesis implants.


“Open reduction” involves anatomically aligning the bone fragments through surgery, while “internal fixation” uses devices such as:


  • Plates

  • Screws

  • Intramedullary nails

  • Locking systems


Reducción Abierta y Fijación Interna (RAFI)

Main objectives of the rafi


  • Restore bone anatomy

  • Provide mechanical stability

  • Promote bone healing

  • Enable early mobilization






ORIF is widely used in complex or unstable fractures that cannot be adequately treated with conservative methods.


Femur surgery


Femur surgery comprises orthopedic procedures intended for the treatment of fractures, deformities, or injuries of the longest bone in the human body.


Frequent indications

  • Hip fractures

  • Stepsin fractures

  • Distal femur fractures

  • High-energy trauma

  • Pseudoarthrosis


Techniques used

  • Intramedullary nails

  • Locking plates

  • Specialized screws

  • Hip replacement


The surgical objective is to restore:


  • Anatomical alignment

  • Stability

  • Limb function

  • Load-bearing capacity


Early rehabilitation is essential to reduce complications.


Tibia surgery


Tibia surgery is performed to treat fractures, deformities, and structural injuries of one of the body's major support bones.


Common injuries


  • Diaphyseal fractures

  • Tibial plateau fractures

  • Open fractures

  • Sports trauma fractures


Frequent procedures


  • Osteosynthesis with plates

  • Intramedullary nails

  • External fixation

  • Joint reconstruction


The tibia has anatomical characteristics that make it vulnerable to complications related to soft tissue and bone healing.


Treatment aims to preserve stability and restore function to the lower extremity.


Arthroscopy


Arthroscopy is a minimally invasive surgical technique used to diagnose and treat joint injuries through small incisions and a specialized camera called an arthroscope.


Articulaciones más intervenida


  • Knee

  • Shoulder

  • Ankle

  • Hip

  • Wrist


Frequent procedures


  • Meniscal repair

  • Ligament reconstruction

  • Joint debridement

  • Treatment of cartilage injuries


Advantages of arthroscopy


  • Less tissue damage

  • Faster recovery

  • Less postoperative pain

  • Smaller incisions

  • Shorter hospital stay


Currently, arthroscopy is a fundamental tool in sports orthopedics and modern joint surgery.


Arthroplasty


Arthroplasty is a surgical procedure intended to partially or totally replace a damaged joint with artificial prostheses.


Common indications


  • Advanced osteoarthritis

  • Degenerative joint disease

  • Complex fractures

  • Severe arthritis

  • Disabling pain


Main objectives


  • Reduce pain

  • Restore mobility

  • Improve joint function

  • Regain quality of life


The most frequently replaced joints are:


  • Hip

  • Knee

  • Shoulder


The evolution of biomaterials has significantly improved the durability and performance of modern prostheses.


Spinal surgery


Spinal surgery includes procedures aimed at treating vertebral, neurological pathologies and spinal deformities.


Frequent indications


  • Herniated discs

  • Vertebral fractures

  • Scoliosis

  • Spinal stenosis

  • Vertebral instability


Techniques used


  • Spinal fusion

  • Neural decompression

  • Vertebral instrumentation

  • Pedicle screw systems


Surgical objectives


  • Stabilize the spine

  • Protect neurological structures

  • Correct deformities

  • Relieve pain


Spinal surgery requires high precision due to the anatomical and neurological complexity of the vertebral region.


Hip replacement


Hip replacement, also called hip arthroplasty, involves replacing the damaged joint with artificial prosthetic components.


Main indications


  • Advanced osteoarthritis

  • Hip fractures

  • Avascular necrosis

  • Severe degenerative disease


Components of the prosthesis


  • Acetabular component

  • Prosthetic femoral head

  • Femoral stem


Benefits


  • Pain reduction

  • Improved function

  • Restored mobility

  • Improved quality of life


Hip replacement is one of the most successful procedures in modern orthopedic surgery.


Knee replacement


Knee replacement is a surgery in which damaged joint surfaces are replaced with prosthetic components designed to restore joint function.


Frequent indications


  • Severe osteoarthritis

  • Advanced joint degeneration

  • Inflammatory arthritis

  • Debilitating pain


Main objectives


  • Reduce pain

  • Correct deformities

  • Improve mobility

  • Restore functionality


Types of replacement


  • Total

  • Partial

  • Revisional


Postoperative rehabilitation is essential to optimize functional outcomes.


Osteotomy


Osteotomy is a surgical procedure that involves cutting and realigning a bone to correct deformities or redistribute biomechanical loads.


Frequent applications


  • Angular correction

  • Bone deformities

  • Localized osteoarthritis

  • Mechanical axis alterations


Common regions


  • Knee

  • Tibia

  • Femur

  • Hip


Goals


  • Improve alignment

  • Reduce joint stress

  • Preserve joint health

  • Delay the need for a prosthesis


Osteotomies require precise biomechanical planning to achieve adequate functional results.


 
 
 

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