Distal radius fracture surgery is a procedure to repair a break in the radius bone near the wrist. This injury is one of the most common fractures in the arm and often results from falls onto an outstretched hand. If you’re in Nebraska or Iowa and considering surgery for a distal radius fracture, this guide explains what to expect from the procedure, recovery, and long-term outcomes.
What is a Distal Radius Fracture?
The distal radius is the end of the radius bone, which connects to the wrist. When this part of the bone fractures, it can cause severe pain, swelling, and deformity around the wrist, making movement difficult. Distal radius fractures vary in severity and type:
- Stable Fractures: The bone remains in place and may be managed with a cast or splint.
- Displaced Fractures: The bone has moved out of alignment and typically requires surgery for proper healing.
- Intra-Articular Fractures: The fracture extends into the wrist joint, which can complicate healing.
Symptoms of a Distal Radius Fracture
Common signs of a distal radius fracture include:
- Severe Wrist Pain: Especially with movement or pressure.
- Swelling and Bruising: Often extending around the wrist and forearm.
- Deformity: The wrist may look misaligned or bent.
- Limited Mobility: Difficulty in moving or using the hand and wrist.
When is Surgery Recommended?
Surgery is often recommended for distal radius fractures when:
- The Bone is Displaced: Surgery realigns the bone to ensure proper healing and restore wrist function.
- The Joint is Affected: Intra-articular fractures that affect the wrist joint require surgery for stability.
- Conservative Treatments Fail: If casting doesn’t stabilize the fracture or if healing is not progressing.
Distal Radius Fracture Surgery Techniques
- Open Reduction and Internal Fixation (ORIF)
- Procedure: The surgeon makes an incision to access the fractured bone, realigns it, and secures it with a metal plate and screws.
- Benefits: Provides stability, precise alignment, and is suitable for complex fractures.
Preparing for Surgery in Nebraska and Iowa
Preparing for surgery can help ensure a smooth experience and successful recovery:
- Preoperative Consultation: Your surgeon will review X-rays and other imaging to confirm the fracture details.
- Pre-Surgery Instructions: Follow guidelines on fasting, adjusting medications, and arranging for someone to drive you home after surgery.
- Home Setup for Recovery: Set up a comfortable space for post-surgery recovery, as you’ll need to limit the use of your hand and wrist.
Recovery After Distal Radius Fracture Surgery
After surgery, a structured recovery plan helps restore wrist function and prevent complications.
- Pain Management: Prescription pain medications may be provided initially, with over-the-counter options as pain decreases.
- Splint or Cast: A splint or cast may be worn to protect the wrist and keep the bones stable as they heal.
- Physical Therapy: Rehabilitation starts with gentle exercises to restore range of motion and strength, typically advancing to more strenuous exercises as healing progresses.
Recovery Timeline
- First Few Weeks: Swelling and tenderness are common; keep the wrist elevated to reduce swelling.
- 4-6 Weeks: Physical therapy begins, focusing on restoring wrist flexibility and strength.
- 3-6 Months: Most patients regain significant function, with continued improvement as they follow their therapy plan.
Long-Term Outcomes
With successful surgery and physical therapy, most patients experience excellent recovery, regaining full range of motion and strength. Distal radius fracture surgery has a high success rate, allowing patients to return to normal activities, including work and recreational pursuits.
