Treatment

Treating Hand Fractures

Choose a preferred language

A fractured bone starts to heal on its own right away. But a treatment called reduction may help the break heal correctly. Reduction is a process that repositions or "sets" the fracture. The goal is to get the broken bone ends as close as possible to how they were before the injury. Your healthcare provider will use one or more methods of reduction.


Closed reduction

If you have a clean break with little soft tissue damage, closed reduction will likely be used. Before the procedure, you may be given medicine to numb the area and relax your muscles. Then your healthcare provider manually readjusts the broken bone. You will wear a splint or a cast while you heal.


Open reduction

Open reduction with internal fixation is a surgical procedure that may be used in cases of displaced or unstable fractures, fractures involving one of the joints in the hand, or open fractures. (An open fracture is one in which the skin is disrupted over a fracture, either because the bone has poked through the skin, or there is a wound over a fracture.) You may have general anesthetic during the surgery to let you sleep and relax your muscles. Or you may have local or regional anesthesia to numb the area involved. Your surgeon then makes one or more cuts (incisions) to realign the bone and fix soft tissues. Pins, screws, plates, or a combination may be used to hold the bone in place during healing.

Front view of fractured bone showing three ways to close fracture: pins, screw, and plate.


The road to healing

Fractures may take from 4 weeks to 4 months to heal. It depends on the bone and the severity of your injury. Keeping your hand raised can help control swelling, throbbing, and pain. Your healthcare provider may give you medicine to help ease pain. Don’t remove a splint or cast unless your healthcare provider says you can. Call your healthcare provider if your pain gets worse or if you notice lots of swelling or redness.

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
walking figure

Bone and Joint Care

Find expert care for joint pain, injuries, and conditions that affect how you move at the HPH Bone & Joint Centers.

Learn More
Related Articles
Read article
Orthopedics
Knee Arthroscopy

Arthroscopy is used to diagnose and treat knee problems through several small incisions in the knee.

Read article
Orthopedics
First Aid: Sprains and Fractures

A sprain happens when ligaments, the fibrous tissues that connect bones at a joint, pull or tear. A fracture may happen when a bone is hit with more force than it can bear. Learn about first aid for a sprain or fracture.

Read article
Orthopedics
Upper Arm Fracture Open Reduction and Internal Fixation (ORIF)

Open reduction and internal fixation (ORIF) is a type of surgery used to stabilize and heal a broken bone. You may need this procedure to treat your broken arm. Read on to learn what to expect before, during, and after this surgery. 

Read article
Orthopedics
Hip Arthroscopy: Repairing Femoroacetabular Impingement

When excess bone forms on the edge of the ball or the socket of the hip, it's called FAI (femoroacetabular impingement). This can cause pain and limit movement. Arthroscopy can fix FAI. It uses small incisions and special tools. Read on to learn more.