Upper Limb — Hand & Wrist | Fracture Care
Hand Fractures Treatment in Hyderabad
Hand fractures treatment Hyderabad is about two things: accurate alignment and early, safe motion. Under Dr. Deepthi Nandan Reddy, metacarpal and phalangeal fractures are managed with precise fixation (when required) and a rehab plan that protects healing without sacrificing dexterity.
Types of hand fractures
- Metacarpal neck/shaft: common in little and ring fingers; rotational deformity needs correction.
- Metacarpal base: can involve the CMC joint and affect grip strength.
- Proximal/middle phalanx: angulation and rotation can block smooth finger glide.
- Intra-articular fractures: joint surface involvement risks stiffness and arthritis if not aligned.
- Open fractures: require urgent washout, antibiotics, and stabilisation.
- Multiple injuries: combined fractures/soft-tissue damage demand staged planning.
When surgery is recommended
- Significant angulation/shortening or any rotational deformity (fingers overlap when making a fist).
- Intra-articular step/gap, unstable patterns, or failed closed reduction.
- Open fractures, multiple fractures, or fractures with tendon/nerve injury.
- Non-union/malunion causing pain, weakness, or loss of motion.
Treatment options
Non-operative care
Splints or casts for stable, well-aligned fractures with early finger motion to avoid stiffness.
Closed reduction & K-wires
Pin fixation through tiny incisions preserves tissues while stabilising the bone for healing.
ORIF — plate/screw fixation
Open reduction and internal fixation is used for unstable or intra-articular patterns to restore length, rotation, and joint congruity.
Reconstruction procedures
Corrective osteotomy and bone grafting for malunion/non-union; tenolysis or capsulotomy for motion blocked by scarring.
Hardware is removed only if symptomatic or restricting movement after union is confirmed.
Recovery & rehabilitation
- 0–2 weeks: swelling control, wound care (if operated), gentle finger glides and edema management.
- 2–6 weeks: supervised range-of-motion; protect fixation from heavy loads.
- 6–10 weeks: strengthening and dexterity drills as union appears on X-ray.
- 3–4 months: return to most tasks; fine motor and power grip catch up with practice.
Progress beats force. Consistent, pain-aware practice restores glide, grip, and confidence.
FAQs — hand fractures treatment Hyderabad
Do all hand fractures need surgery?
No. If alignment and stability are acceptable, splinting with early motion works well.
How soon can I use my hand?
Light use often starts early under protection; full strength takes weeks to months depending on pattern and fixation.
Will I lose movement?
Some stiffness is common after injury. Early guided therapy and correct alignment minimise long-term limits.