Open reduction with internal fixation (ORIF) is an advanced orthopedic surgical technique designed for fractures that are severely displaced, involve joints, or fail to heal with conservative treatment. During the procedure, the surgeon carefully exposes the fracture site, removes any debris or damaged tissue, and precisely repositions the bone fragments to restore their natural alignment. Specialized implants such as metal plates, screws, or intramedullary rods are then used to hold the bones securely in place during healing. This method ensures accurate stabilization, promotes faster recovery, and minimizes the risk of complications such as malunion or nonunion. ORIF is commonly performed for fractures of the arms, legs, hips, ankles, and other critical weight bearing bones, and is often followed by a structured rehabilitation program to regain strength, mobility, and function.