When it may be considered
- Displaced or unstable finger, thumb and metacarpal fractures
- Fractures involving a joint surface
- Open fractures or injuries associated with soft-tissue damage
Hand surgery ↗
Specialist hand surgery
Hand fracture fixation
Restoring alignment and stability following fractures of the fingers, thumb or hand.
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Understanding the procedure
What does treatment involve?
Some hand fractures remain acceptably aligned with splintage alone. Surgery may be recommended when a fracture is displaced, unstable, involves a joint or is likely to compromise movement and function. Fixation holds the bone in an improved position while healing takes place.
Your treatment
- Clinical assessment and review of appropriate imaging
- Reduction of the fracture and stabilisation using the most suitable fixation method
- Careful consideration of associated tendon, nerve and soft-tissue injury
Recovery and rehabilitation
- Elevation and early swelling control are important
- Movement begins when the fracture and fixation are sufficiently stable
- Hand therapy may be required to restore movement, strength and function
Your consultation
Assessment before recommendation.
Symptoms, examination findings, work, hobbies and the demands placed on your hand are considered together. Relevant imaging or nerve studies are reviewed where required.
You will receive a clear explanation of the available options, likely benefits, limitations, material risks and expected rehabilitation before deciding how to proceed.
Common questions
Useful information
01Will every hand fracture require surgery?+
No. Many fractures are treated successfully with splints or casts. Surgery is considered when alignment, stability, joint congruity or function would otherwise be at risk.
02What type of fixation is used?+
Depending on the fracture, fixation may involve wires, screws or small plates. The most appropriate option is determined from the injury pattern and imaging.
03When can I use my hand again?+
This varies with the fracture, fixation and your occupation. A tailored rehabilitation plan is provided after surgery.
This information is general and does not replace an individual consultation. The most appropriate treatment and recovery plan depend on your diagnosis, examination findings and personal circumstances.
Private consultations
Begin with a conversation.
Discuss your symptoms and receive an individual assessment with clear, considered advice.
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