Hand/Wrist Fracture Repair and Fixation

---

Post-operative instructions following surgical fixation of hand or wrist fractures. Your individual fracture pattern may change this pathway

First 72 Hours

• Elevate your hand above heart level continuously for the first 3 days — this is the single most important thing you can do to minimize swelling.

• Your hand will be in a splint, cast, or post-operative dressing — keep it intact and dry.

• Ice the hand (over the dressing, not directly on skin) for 20 minutes every 2 hours.

• Take prescribed pain medications as directed.

Splint & Cast Care

• Keep the splint/cast completely dry. Use a waterproof cover or plastic bag during showering.

• Do not put any objects inside the cast to scratch.

• Call if the cast becomes excessively tight, or if you notice numbness, bluish fingers, or inability to move fingers.

Finger Motion

• Move all unsplinted fingers actively and frequently to prevent stiffness.

• Follow specific motion restrictions based on your fracture type and fixation.

Hardware & Follow-Up

• X-rays will be taken at regular intervals to confirm fracture healing.

• Plates and screws generally do not need removal unless they cause discomfort.

• Pins (K-wires), if used, are typically removed in clinic at 4–6 weeks.

Hand Therapy

• Hand therapy is an essential part of fracture recovery and begins once the fracture is stable.

• Stiffness is common after fractures and improves significantly with dedicated therapy.

• Full strength recovery typically takes 3–6 months after fixation.