Chirurgische Praxis Alstertal Heegbarg 14 22391 Hamburg Tel: +49 (0) 40 602 30 06
 

Fractures in wrist and hand

Fracture Hand – Wrist Fracture – Fracture Finger – Forearm Fracture

Hand Surgery and Surgical Practice Alstertal  Germany Hamburg Poppenbuettel – Tel: +49-40 -602 30 06

 

Here you can access directly the specific pages

Wrist fracture – Radius fracture

Fracture Finger Fracture Midhand

Fracture Forearm

Fracture Elbow

Info

Depending on the affected bones and the type of fracture there are several strategies of treatment. Reliable diagnosis is not possible without X-ray examination! A relatively sure sign of a Fracture is visible deformity. A relatively unsafe sign is pain. Some fractures are not painful. The swelling in the fractured area may be moderate.

Therapy

Depending on some factors, Fractures can be treated by stiff plaster or brace. If displaced, deformed, or joint involvement usually OP is recommended to get full recovery. The modern treatment of fractures targets  the full restoration of the natural bone shape. If this is successful, it usually comes to an easy and rapid healing. Another advantage of an operation is the shorter immobilization time. Thus, e.g. the most common fracture in humans, the fracture of the radius at the wrist, is very successfull reconstructed using a thin titanium plate for internal stabilisation.  Usually the patient can  start exercises without external stiff plaster in less than 10 days after operation.

Due to the internal stabilization with a plate, the patient is free of pain already 2-3 days after the surgery! The non operative Treatment makes  a 4 to 6-week cast immobilization associated with longer rehabilitation period necessary. This is especially important for older people. They can use the hand increasingly immediately after operation.

It is appropriate to mention: “The surgery without anesthetic risk, done  in subaxillar plexus local anaesthesia actually impaires quality of life and the ability to help yourself in the daily routines  significantly.” You save weeks of immobilization in stiff plaster. And furthermore, the recovery time is much shorter comparing to non operative treatment.

Operative procedure

In subaxillary plexus or general anesthesia. Rearrangement of the  fracture and internal stabilization  with (titanium) plates / screws / wires

What’s next?

After surgery you can go home within some hours. No hospitalisation. Appearance and duration of immobilization depends on the Type of Fracture. Often  no stiff plaster immobilization is required after surgery.

Concerning removal of plates: It is not mandatory. The majority of titanium plates (that’s what we use) can stay in place for the whole life. Titanium is chemical very neutral. However, if the patient wants removal it can be done  1/2 year or later after operation.

 

Disclaimer Info Pages

 Dear Patient, this page is made to inform you and provides essential information about medical issues.

We have published this page in good faith and based on our years of experience and  latest scientific findings.

Of course, a guarantee for  correctness and completeness can not be given in the rapidly-developing field of medicine. Even other doctors may disagree. 

However, we are convinced: You will be informed  useful and responsible. Nevertheless, we encourage you to gather information  also from different sources.

 
 
 

  • Dr. med. Stefan Peters
    Handsurgeon
    Trauma Surgery
    General Surgeon

    Dr. med. Stephan Berg
    Orthopedics
    General Surgeon
    Trauma Surgery

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