Post-Surgery Concerns: Recovery After a Boxer’s Fracture

Postoperative issues

Hello, doctor.
At the end of September, I accidentally injured my right pinky finger.
I was afraid of surgery, so I waited a month before going to the hospital.
The doctor said it was a boxer’s fracture.
I followed the doctor's advice and opted for self-funded plates and bone grafts, and I had surgery on November 1st.
It has been a week since the surgery, and I have been trying to move my hand while changing the dressings.
It still feels a bit tight; I’m not sure if that’s normal.
The sutured wound isn’t very painful, but it is still a bit swollen.
I wonder if that could also be affecting it.

Niming, 40~49 year old female. Ask Date: 2023/11/08

Dr. Shi Guozheng reply Orthopedics

Post-operative pain is a normal phenomenon, and stiffness in the joints is also normal.
Gradually bending the joints and increasing the range of motion can help improve the situation.

Reply Date: 2023/11/08

More Info

After experiencing a boxer’s fracture, which typically involves a break in the fifth metacarpal bone (the bone in the hand that supports the little finger), it is essential to understand the recovery process and address any concerns you may have post-surgery.
Firstly, it is normal to feel tightness in your hand after surgery. This sensation can be attributed to several factors, including swelling, inflammation, and the healing process of the tissues surrounding the fracture site. Post-operative swelling is common and can persist for several weeks. It is crucial to monitor the swelling and ensure that it gradually decreases over time. If the swelling worsens or is accompanied by increased pain, it is advisable to consult your physician.

Regarding the surgical site, it is a positive sign that you are not experiencing significant pain at the incision. However, some degree of discomfort and tightness is expected as your body heals. The stitches or staples used to close the incision may also contribute to the feeling of tightness. It is essential to keep the surgical area clean and dry to prevent infection, which can complicate recovery.

In terms of mobility, gentle movement of your fingers and hand is encouraged as long as it does not cause excessive pain. Engaging in light range-of-motion exercises can help improve flexibility and reduce stiffness. However, it is crucial to follow your surgeon's recommendations regarding the timing and extent of these exercises. Overexerting yourself too soon can lead to complications, including re-injury or delayed healing.

As for the use of a splint or cast, it is typically recommended to protect the fracture site during the initial healing phase. Your doctor will provide specific instructions on when to start using your hand more actively and when to remove any supportive devices. Adhering to these guidelines is vital for a successful recovery.

If you notice any signs of complications, such as increased redness, warmth, or discharge from the surgical site, or if you experience severe pain that is not alleviated by over-the-counter pain medications, you should seek medical attention promptly. These symptoms could indicate an infection or other issues that may require intervention.

In summary, while some tightness and swelling are normal after surgery for a boxer’s fracture, it is essential to monitor your recovery closely. Engage in gentle movements as advised by your healthcare provider, maintain proper wound care, and be vigilant for any signs of complications. With appropriate care and rehabilitation, you should be able to regain full function of your hand and return to your normal activities. If you have any further concerns or questions about your recovery, do not hesitate to reach out to your healthcare team for guidance.

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