Fracture Repair w/wo Internal Fixation A fracture is a split or break in a bone. An open fracture or compound fracture occurs when the broken bone punctures the skin. Fractures can be the result of trauma, falls, and abuse. Stress fractures can occur with repetitive pressure on a bone such as with running. Stress fractures may occur in the foot, ankle, tibia, and hip. Open Reduction Internal Fixation is a method of surgically repairing a fractured bone. Generally, this involves repair of the fracture through the use of plates and screws or an intramedullary (IM) rod to stabilize the bone. This surgical procedure by an orthopedic surgeon may be performed in an outpatient surgery center. The procedure may be done under local or regional anesthesia and IV sedation, or general anesthesia with the patient deep asleep. Patients should consult their surgeon for a complete explanation of the procedure and its associated risks and complications.