During ORIF, after the surgeon uses a drill and drill guide to drill the first hole, what is the next step?

In the context of Open Reduction and Internal Fixation (ORIF), after the surgeon drills the first hole using a drill and drill guide, the logical next step is to measure with a depth gauge. This step is crucial because it allows the surgeon to determine the exact depth of the drilled hole. Knowing the depth ensures that the screws used for fixation will be appropriately sized—not too long to avoid damage to surrounding structures, and not too short to ensure proper stabilization of the fracture.

Using a depth gauge helps in selecting the right length of the screw, which is essential for effective fixation and to prevent complications such as screw loosening or failure. Only after this measurement is confirmed can the surgeon proceed to insert the screw, which is the next logical step after ensuring that the correct length is chosen based on the depth of the hole drilled. This careful attention to detail during the procedure is critical for successful surgical outcomes.