Fracture of the finger joints in the right hand?
Hello, doctor.
I had a car accident on September 24, resulting in a fracture of the finger joint in my right hand, and I underwent surgery on October 5.
I would like to ask how long it will take for the wound to heal after the metal hardware is removed.
How long until I can get it wet? Will I be able to move the joint after the hardware is removed? The fracture is located at the fourth finger joint of my right hand.
Yu, 10~19 year old female. Ask Date: 2015/10/26
Dr. Xie Hongjia reply Orthopedics
Hello, after the metal is removed from the finger joint fracture, it is necessary to take an X-ray to assess the extent of the fracture in order to determine how long it will take to heal.
Reply Date: 2015/10/26
More Info
Recovery from a finger joint fracture, especially after surgical intervention, is a critical process that requires careful attention to both healing and rehabilitation. Based on your situation, where you underwent surgery on October 5th for a fracture in the fourth finger joint, I will provide a detailed overview of what you can expect during your recovery timeline, including wound healing, activity restrictions, and rehabilitation.
Healing Timeline
1. Initial Healing Phase (0-2 Weeks Post-Surgery):
- After surgery, your finger will likely be immobilized using a splint or cast to protect the surgical site and allow for initial healing. During this time, it is essential to keep the area clean and dry.
- The surgical wound typically takes about 1-2 weeks to heal superficially. You should avoid getting the wound wet during this period to prevent infection.
2. Suture Removal and Follow-Up (2-3 Weeks Post-Surgery):
- If you had stitches, they are usually removed within 10-14 days post-surgery, depending on your doctor’s assessment. After suture removal, you may notice some tenderness and swelling, which is normal.
- At this stage, your doctor may provide guidance on when you can start gently moving your finger, but full range of motion exercises will likely be restricted until the bone has healed adequately.
3. Bone Healing Phase (4-6 Weeks Post-Surgery):
- Bone healing generally takes about 4-6 weeks for most finger fractures, but this can vary based on the severity of the fracture and your overall health.
- During this period, you may be allowed to start gentle range-of-motion exercises, but you should avoid any activities that put stress on the joint until your doctor gives you the green light.
4. Post-Removal of Hardware (6-8 Weeks Post-Surgery):
- Once the metal hardware (if used) is removed, which typically occurs around 6-8 weeks post-surgery, the wound should be well-healed, and you can begin more aggressive rehabilitation.
- You can start to gradually introduce water to the area, but be cautious and ensure the wound is completely healed before submerging it in water (like baths or swimming).
Rehabilitation
- Physical Therapy: After the hardware is removed, physical therapy is crucial to regain strength and mobility in your finger. Your therapist will guide you through exercises designed to improve flexibility and strength while minimizing the risk of stiffness.
- Range of Motion Exercises: Start with passive movements, where you gently move your finger with the help of your other hand. Progress to active movements as your pain decreases and mobility improves.
- Strengthening Exercises: Once you have regained a reasonable range of motion, your therapist will introduce strengthening exercises to help restore function.
Precautions
- Avoiding Water: Until your doctor confirms that the wound is fully healed, avoid submerging your hand in water. You can use a waterproof cover for showers if necessary.
- Monitoring for Complications: Watch for signs of infection (increased redness, swelling, warmth, or discharge) or any unusual pain. If you experience these symptoms, contact your healthcare provider immediately.
Conclusion
In summary, the recovery timeline for your finger joint fracture surgery involves several phases, starting from initial healing to rehabilitation. The wound should heal within 1-2 weeks, and you can expect to start gentle movements around the 4-6 week mark. After hardware removal, you will likely begin a more intensive rehabilitation program to restore function. Always follow your surgeon's specific recommendations and attend follow-up appointments to monitor your healing progress. With proper care and rehabilitation, you should be able to regain function in your finger over time.
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