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Hand surgery educationRegion: WristFracture Fixation

Distal radius fracture ORIF

Realigns a broken wrist (distal radius) and holds it with a metal plate and screws. Common after a fall onto an outstretched hand when the bone is too displaced for a cast alone.

Page reviewed — follow your clinical team for decisions.

Why it's done

  • Displaced or unstable distal radius fractures
  • Fractures into the wrist joint surface

Typical recovery phases

General patterns only — your protocol wins.

These phases describe common themes many teams use after this type of procedure. Your surgeon and hand therapist set the exact timeline, motion limits, and return-to-work or driving rules.

  1. Phase 1Weeks 0–2

    Wound healing, finger motion, swelling control.

    Elevate the hand; move every finger often; wear the splint as directed.

  2. Phase 2Weeks 2–6

    Begin wrist motion as cleared.

    Gentle wrist range of motion; no lifting or pushing.

  3. Phase 3Weeks 6–12

    Add light strengthening.

    Putty, light grip work; progress with therapist guidance.

  4. Phase 4Months 3–6

    Return to demanding tasks.

    Heavier lifting and impact return last.

Red flags — call your team

Contact your surgical team urgently for new or worsening symptoms like these. If you cannot reach them and the problem feels life-threatening, use local emergency services.

  • Increasing pain, swelling, or color change
  • New numbness or weakness
  • Drainage, fever, or hardware-site pain

Splints you may wear

Names and designs vary by hospital. These splint education pages match common post-operative supports for this procedure — confirm what you were given before changing anything.

Related motions in the movement library

Canonical hand-therapy movements linked to this condition for education — not a substitute for your own program or clearance.

Sources

Independent references we used to shape this overview. They do not replace your clinician's instructions or your local emergency pathways.