A procedure to stabilize fractures in the hand and fingers using internal fixation devices.
Through an incision over the fracture, the bone fragments are realigned and secured, typically with small plates, screws or wires appropriate to the size of the bones involved. The procedure typically takes one to two hours, depending on the number and complexity of fractures, and is usually day surgery.
Assessment includes examination for any rotational deformity of the fingers, alongside X-rays to characterise the fracture pattern. Standard preoperative steps apply, including fasting and arranging transport home.
A splint or cast supports the hand initially, with hand therapy introduced once the surgeon confirms the fixation is stable enough for controlled movement. Healing generally takes several weeks, with strength and dexterity continuing to improve over the following months.
Rehabilitation typically begins with protected movement of the uninvolved fingers to prevent overall hand stiffness, progressing to movement of the injured finger as the fracture stabilises, and then strengthening exercises as healing is confirmed.
Risks include infection, the fracture failing to heal (nonunion) or healing in a less than ideal position (malunion), and stiffness of the involved finger joints. Hardware occasionally requires removal later if it causes irritation.
The goal is well-aligned, stable healing that restores normal hand strength and dexterity. Most patients regain good function, with outcomes closely tied to accurate correction of any rotational deformity at the time of surgery.
Fixation of hand and finger fractures realigns and stabilises broken bones, aiming for reliable healing and a return to normal hand strength and dexterity. Careful attention to rotation and alignment during surgery is important for good grip function afterward.
