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Hand surgery educationRegion: Hand GeneralFracture Fixation

Hand fracture fixation

Realigning broken bones and holding them with pins, wires, or a plate so they heal in the right position.

Page reviewed — follow your clinical team for decisions.

Why it's done

  • Displaced or unstable fractures
  • Fractures involving a 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 0–6

    Bone healing; protect the construct.

    Splint or cast wear as directed; move uninvolved joints.

  2. Phase 2Weeks 6–12

    Restore motion.

    Begin gentle motion as your surgeon clears it.

  3. Phase 3Months 3–6

    Strength and return to full activity.

    Strength work progresses gradually.

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 swelling, color change, or numbness
  • Hardware site pain that worsens
  • Fever or drainage

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.