revision ORIF
A secondary surgical procedure to revise or replace previous internal fixation hardware.
Full Definition
Revision ORIF (Open Reduction and Internal Fixation) is a surgical procedure performed to address complications or failures of previous internal fixation. Common indications include hardware failure, loss of reduction, nonunion, malunion, or infection requiring implant removal and new fixation. Revision procedures are typically more complex than primary ORIF due to altered anatomy, scar tissue, bone loss, and the need for hardware removal. The surgical approach often requires careful preoperative planning to address the specific failure pattern and may involve bone grafting, new implant selection, or alternative fixation strategies.
Usage
Usage note: Distinguish from primary ORIF and specify the indication for revision in clinical documentation.
In Context
- "Revision ORIF was performed six months post-operatively due to plate failure and loss of reduction." — Medical record
- "The patient required revision ORIF with bone grafting for established nonunion." — Treatment plan