ORIFF / CRPP for Distal Radius (Broken Wrist) Fractures
What is ORIFF/CRPP for distal radius fractures?
A fracture of the distal radius refers to a break in the larger of the two arm bones that connect the hand to the elbow. This type of "broken wrist" happens closest to the hand. It is a common fracture and can easily occur from a fall. When the wrist is broken with the fingers extending back towards the wrist, it's called a Colles fracture. If the wrist is broken with the fingers and hand bent forward, it's called a Smith fracture.
Types of surgical and non-surgical approaches to resetting bones
Depending on the nature of the fracture, the bones may be repositioned surgically or without surgery. Open reduction internal fixation (ORIF) involves a surgical approach to "reducing" or resetting the bones. This procedure requires general anesthesia (you'll be asleep and won't feel anything) while the orthopaedic surgeon surgically positions the bones and uses surgical implants such as metal screws or plates to hold the bones in place.
Closed reduction percutaneous pinning (CRPP) is a "closed" or non-surgical approach that requires only a small incision and the use of fluoroscopic guidance for the doctor to move the bone into place and position it with a pin.