What to expect during surgery:

Operative treatment of most hand and finger fractures is generally performed on an outpatient basis. Dr. Holt will meet you on the day of surgery and review the plan. Anesthesia options include general or light sedation in combination with a regional nerve block. Some hand and finger fractures can be treated “closed” without making an incision. In this case, the fracture is usually stabilized with small pins or wires. At time a formal “open” reduction is needed, making an incision around the fracture area.

The goal of surgery is to line up, or “reduce” the fracture as normally as possible and then stabilize the fracture to hold it in place. If you had an open reduction with an incision, then the incision will be closed with stitches. Oftentimes a splint is place to held stabilize and immobilize the fracture after surgery.

Pain Control:

Start with simple, but effective pain relief strategies such as ice and elevation. Especially for the first 2 - 3 days, attempt to keep your hand above your heart as much as possible. This will significantly limit pain and swelling. Next, try over the counter pain medications such as Tylenol and/or Ibuprofen. Most patients tolerate these medications well. Take them food, and make sure to check your allergies and/or other medications and medical issues to ensure it is safe to take them. Some patients use a small amount of narcotic medication after surgery which will be provided to you on the day of surgery as needed. Take them as directed and only as needed.

Dressing/Bandage:

Keep your dressing on until you return for follow up unless otherwise instructed. Use a plastic bag or cover to keep it dry during showers/hygiene.

Activity:

In most cases, the injured area will be immobilized. You can use the rest of your hand/fingers for light activities of daily living such as computer/phone use. Additionally, work on the attached finger range of motion exercises multiple times per day to move any/all fingers/joints not immobilized by a splint. It is very important to begin moving your uninjured fingers right after surgery and keep them moving to avoid stiffness.

Additional Information:

After surgery, you should expect some pain, swelling, and stiffness. Dr. Holt will talk to you about when it is safe to return to work. Recovery after hand and finger fractures is patient and injury specific. Many injuries have prolonged recovery and may need occupational/hand therapy to maximize long term function. Dr. Holt will discuss this with you and help develop an optimal plan for your specific injury.

Follow-Up:

Your follow up appointment is generally 10 – 14 days after your surgery and should be in your discharge packet on the day of surgery.