Hand Fracture Surgery

www.handandwristinstitute.com/... - The delicate bones of the hand are extremely likely to be injured due to their importance in most day-to-day tasks. They are especially likely to be injured in a fall, or by traumatic crushing or blunt trauma injuries, or twisting and torqueing. All of these are likely to lead to fractures of the hand.
The three bones of the finger, from closest to furthest, are the proximal, middle and distal phalanges. The distal phalanx can be broken off in what is called a tuft fracture, which requires the insertion of a wire into the tip to hold it to the larger body of the phalanx and allows for healing.
The middle and proximal phalanges are susceptible to oblique and transverse fractures. Oblique fractures occur on an angle, and usually require internal fixation using screws to correct. Transverse fractures are a straight break across the body of the phalanx, and also usually require screws or wires to be fixed in place and allowed to heal.
Finger alignment is an important tool for doctors to determine if there has been a break. The broken finger will not line up with the rest of the working fingers and so break the line of a closed fist, sometime extending over or under the adjacent finger.
Four to six weeks is the standard recovery period for a hand fracture, consisting of a removable brace to keep the hand from moving and letting the bone knit itself back together cleanly. Once the hardware is removed in a short, locally anesthetized surgery after this time, a rigorous regimen of therapy is necessary in order to return your hand to as much functionality as is possible given your injury.

[@keithmayhew2161]

Thank you for sharing.My friend is having finger surgery on 10/04/19.Now I see what she will be going through.Once again thank you..

[@Rohansnet]

Thank you Doctor for sharing your experiences.i went through some of the comments of this and some patients were not happy of there managements that have done from hospitals.i think most of the them have forgotten the need of physio most of the time after surgeries to re gain the normal pattern of movements.

[@baik]

"anger management issues go and strike a wall" lmaoooo exactly why my hand is messed up

[@imlucky2995]

same

[@GUNAVANTHUDU1]

I’m not alone 😂

[@imlucky2995]

stll in a cast

[@GUNAVANTHUDU1]

@@imlucky2995 so I am lmao

[@Joseanmaldonadom51]

Lmaooo shit we all on the same page

[@radzelimohdramli4360]

Do u allow immediately full motion of the finger fixed with lag screws n pins? N what size of the pin do u use for fixation? 1.0mm?

[@vijayendragurjar]

Hi Dr, How about bone loss (chip) from 5th metacarpal, how do you fix it?

[@jennirios794]

How long do surgeries on the metacarpal take??

[@handsurgeonla]

Yes, they can be straightened out but it will depend on the symptoms.

[@altruistzaeyl3369]

Sir I have ring finger proximal phalanx head compound fracture. My k wire will be removed this week Can I able to move from that joint

[@keshavmehrotra6106]

7:17 minute of this video the same had happened to me. Can you plz tell me the exercises I need to do after the surgery? Plz really it's really helpful for me

[@MAN-sf8jm]

Which are food good for fracture time

[@sammijo7222]

I have a boxer frature from 3 years ago. I did not go in to the er right away. so when I did go into my primary he said he could not operate but I am looking into a second opinion my hand get very sharp pains about a few times a week an my hand is very stiff at times. is there any hope

[@srdrsrsr7487]

ي دكتور انا سويت عمليه بيدي ف الإصبع الوسط واللحين عاملين جبس تبع الكسر بس أشعر بألم شديد ف راحه يدي حراره قويه اتمنى الرد

[@floatingwithdebris]

Ugh I need to get the surgery for my ring finger pins and kwire fk I'm a month since the fracture and rotation 😔

[@donclarksadoway2243]

You are simply a great hero. Good job.

[@sayedelking7326]

Doctor, I have a fracture in the phalanges of the ring finger and pinky finger that was fixed with a metal behavior and that is two months and 10 days ago it does not respond and the fracture is under healing, can you help me what to do

[@samosam9741]

ياريت ترجمة للعربي

[@mohammedadnan6387]

hi Sir I'm form india..... my left hand was fracture 10 years ago.... now do can operation

[@mohammedadnan6387]

Plz reply me sir

[@Unmshraddha]

Thanks for the information

[@rajveershukla2685]

Thanks for making video sir

[@mdkurbanali609]

Help me

[@esmora98]

I really liked your video,covered what I have.It was your last example.I punched my car window.And broke the knuckle to my pinky.Well I think the doctor who placed the cast,ruined my hand,cause he pulled my hand.Went to E.R to get it checked and E.R doctor said I need pins.But hand is all digusting my hand is so swollen my ring finger and pinky fingers are so deformed.I can't do nothing and in such pain.The reason. Is because I have no Insurance!!It's been 4 months since my injury.I don't know where to start and try to get it fixed.And it's my right hand.Yes I'm right handed.I hope soon I can get my hand fixed again.

[@HH-gv8mx]

Did you ever get surgery on your pinky finger? I just had surgery on mine.

[@MustafaAli-sz2hd]

I have the same fracture with the process of a slide. Is there any hope of returning to boxing??

[@MustafaAli-sz2hd]

I want to go back to fitness and boxing but I can not carry weight because of pain ?

[@DanielGennaro]

I actually fractured my pinky finger at the base of my proximal phalanx. It healed with a malunion as well as a hyper extension and rotation. It doesn’t really affect my day today, a little stiffness in my PIP joint, but I’m also a guitar player and it really annoys me because of the way it sits up higher. I actually had a pre-authorization that would’ve fully cover the surgery, but mostly every single surgeon I went to told me it is a major risk to do it. I still wish I could take the chance, but they would have to completely saw the bone and realign it with pins. Who knows what other kind of damage they could do.

[@fatimamuhammad8459]

Very interesting I will like to be a doctor

[@JussNee]

Right hand surgery in the morning 🤦🏾‍♀️. Guess I won’t be punching a kitchen counter again.

[@usersdksdfg]

why you do that

[@JussNee]

Out of anger. I didn’t want to hit the person so I punched the kitchen counter like a idiot lol. First surgery I ever had in my life.

[@Kahzula]

How long till after surgery were you 100%? I just got a metal plate and screws in my hand (first metacarpal)

[@JussNee]

@@Kahzula Overall I healed in about 2-2.5 months but remained in a brace until my therapy started.

[@Kahzula]

@@JussNee thanks for the reply i got my surgery 2 weeks after my fracture. There taking my cast off next week then gonna give me a splint and I can start doing pt hopefully.

[@HH-gv8mx]

I just had surgery on my left pinky finger. It was a closed fracture. They put pins in it. Had to pay for the surgery out of pocket. I’ve had very little follow up care with this doctor. But it’s been three weeks since the surgery and I am experiencing a lot of pain all of a sudden. I am wrapping my hand myself. And I feel like this should’ve been in a cast post surgery. Is it common to put the hand in a cast after surgery on your finger? Is it OK for me to be wrapping my hand myself I’m not sure what position my finger is supposed to be in.

[@Jan-gj8bm]

Did you ever resolve your issue? I'm getting pinky surgery and I'm getting screws in my bone

[@HH-gv8mx]

@@Jan-gj8bm I think I saw the doctor twice and only one time post surgery for about 10 minutes. He wrote me a script to go to physical therapy. I never went to the physical therapy, body wrapped that finger to the finger beside it for a while may be a few months and my finger is permanently bent. Good luck with your surgery. Are you getting screws that are in there permanently or the ones that come out?

[@Jan-gj8bm]

@@HH-gv8mx permanently in, so you don't know why it's bent or youre in pain? I did research on my doctor and he has a lot of good reviews for successful surgery so that's what I'm praying on

[@HH-gv8mx]

@@Jan-gj8bm when this originally happened, when I broke my finger, I went to the emergency room 9/14. They x-rayed it told me that I needed surgery and sent me home. I called every single orthopedic surgeon and he was the first one they can get me in within 72 hours after I went to the surgeons office they make you give them a down payment of a couple thousand dollars just to be seen. And he scheduled surgery for 9/27. They put pins in my finger. Ideally, you’re supposed to go back to the doctor within 24 to 48 hours after surgery but not only did I wake up in the middle of a hurricane, I also woke up with Covid I live in Florida so I’m sure one of the people in the surgery room gave me Covid since no one here and takes it sEriously. The reason why my hand hurt was because the pins had gotten infected and they were supposed to be removed. I wasn’t able to be seen again until 10/19 to get the pins taken out. My finger was kind of crawled over then and he told me I was supposed to body wrap it with some coban tape. And told me I needed to start physical therapy. They couldn’t get me into physical therapy for like three weeks plus expense per session was out of pocket and I just never went. Perhaps if I would’ve gone to physical therapy I could’ve worked on straightening my finger out who knows. If you have health insurance that covers physical therapy, I recommend that you go! I had to pay for all of this out of pocket.

[@justinlyons405]

Do you routinely work with plating systems?

[@handsurgeonla]

Yes we do.

[@HH-gv8mx]

@@handsurgeonla I had pins put in my pinky finger. I was in a lot of pain the first week post surgery, which I think is normal. But now three weeks after surgery I’m experiencing the same amount of pain. I feel like it is because I am wrapping my hand myself. And they should’ve put me in a cast.

[@DanielGennaro]

@@HH-gv8mx I’m sure your better now. I actually fractured my pinky finger at the base of my proximal phalanx. It healed with a malunion as well as a hyper extension and rotation. It doesn’t really affect my day today, a little stiffness in my PIP joint, but I’m also a guitar player and it really annoys me because of the way it sits up higher. I actually had a pre-authorization that would’ve fully cover the surgery, but mostly every single surgeon I went to told me it is a major risk to do it. I still wish I could take the chance, but they would have to completely saw the bone and realign it with pins. Who knows what other kind of damage they could do.

[@HH-gv8mx]

@@DanielGennaro I never went to physical therapy after I had the pins taken out. I had to pay several thousand dollars for the surgery and I just didn’t have the money to pay for physical therapy. My pinky finger is permanently bent with a big stiff knot in the knuckle. I have very limited range of motion as the finger will not lay all the way down slat it does not grip all the way to my palm and it does not extend up or straight. My orthopedic surgeon was not the best either. I got to see him. May be a total of three minutes out of the two appointments because surgery I was under, so I never got to talk to him. .he always seemed to be in a rush and just wrote scripts. 😔

[@abashkorada8000]

Very helpful sir

[@tonyg1966]

Can you fix healed deformed boxers fractures???

[@gemmafearne9816]

I broke my hand, and fingers. I had to have surgery to have metal plates and screws put in

[@Kahzula]

Are you back to full strength now?

[@teddywalakulombus4271]

Yeah well most of us are poor so how do we break it and realign it and what to wrap it with after we drink a 5th of whiskey?

[@dharmendrajaat1570]

Sir hindi

[@the_real_vdegenne]

if mr white was not a physics teacher

[@tyfguh1664]

Itchy 9:00

[@samedigaston3289]

Bro needs outrageous maintenance dude, metacarpal? Middle of the hand... Shit sounds daunting so plz help!!!

[@mohamedzenter6571]

😪😪😪

[@user-fo9rz5eo9o]

شكرا جزيلا علم سيدي طبيب رائع تبرع اصدقاء لاكن علم نعم بلاع رسالة

[@guerrieri95]

Damn I Can See I Done Fuk Up My Right Hand🤦

[@phillimonbandablackmamba8294]

I am a MMA coach in Africa Zambia amateur league my student broke is finger during a fight, he was not properly treated, I followed it up with a MMA board the told me I am not a medical doctor, I am scared of my fighter well being of my fighter and future.

[@Kahzula]

Why didn’t you take him to a doctor/ hospital

[@jeffknonig8743]

Why is everyone in the comments struggling to speak English?

[@mitzipulido5658]

Their hands are broken

[@HH-gv8mx]

@@mitzipulido5658 lol

[@floatingwithdebris]

​@@mitzipulido5658 lmao

[@tatolatobyron2926]

Omg

[@dwanedexter7685]

I got a boxers fracture from knocking 7 dudes out at a night club, and I will say that most of the time it does take a while to heal. Even when you have healed you will feel a tad bit of pain for at least 6 months

[@beng7227]

Did you get surgery? And does your hand function like normal again with no pain?

[@dwanedexter7685]

@@beng7227 No surgery and no open reduction I also went to the hospital 3 days late and the doctor just put a cast on which I wore for 6 weeks it took my hand about 6 months to regain full range of motion again and the pain only fully went away after about a year and some months. Try doing some light hand therapy after about 2 months

[@madhurock7944]

Same here no doctor no surgery after two months I can move my pinky figure but little pain