The best replacement for orif is arthroplasty.

The best alternatives to orif are rated as following:
★★★★★  arthroplasty
★★★★  crif
★★★★  external fixation
★★★★  oref
★★★  hemiarthroplasty
★★★  closed reduction
★★★  total hip replacement
★★  im nailing
★★  tha
★★  total hip
★  crpp
★  imn
★  gamma nail
★  hip replacement
★  arthrodesis
  orif

Your alternative for orif is not listed? Suggest!
Speaking about orif, one probably shouldn't forget about bone graft.

Other search terms related to orif and their ratings are:
★★★★★ bone graft
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orif
arthroplasty
crif