Key pointers:
- Not all wrist fractures require surgery, treatment depends on the type and alignment of the break.
- Stable fractures can often heal with casting or splinting.
- Unstable or displaced fractures may need surgical fixation, such as volar plating.
- Proper alignment is essential to restore hand movement and prevent long-term stiffness.
How Do Wrist Fractures Happen?
Wrist fractures are common, especially from falls on an outstretched hand. They can occur during sports, accidents, or even simple slips on wet surfaces. One of the most frequent types is the Colles fracture, where the broken bone near the wrist joint shifts upward.
While the injury may seem straightforward, the treatment approach varies depending on how the bone breaks and whether the joint surface is affected.
When Can a Wrist Fracture Heal Without Surgery?
In many cases, wrist fractures can heal with closed reduction and cast immobilisation. This means the orthopaedic doctor gently realigns the bone without making an incision and then applies a cast or splint to keep it in place.
You might be a candidate for non-surgical management if:
- The bones are well-aligned after the injury.
- The fracture is stable and unlikely to shift during healing.
- There are no open wounds or joint surface disruptions.
- You can comfortably move your fingers and maintain circulation.
Regular X-rays during recovery ensure the bone remains properly aligned while it heals. Most people regain good function with this conservative approach.
When Is Surgery Needed for a Wrist Fracture?
Surgery may be necessary if the bone fragments are displaced, unstable, or cannot be properly aligned with a cast alone.
You may require surgical fixation if:
- The fracture extends into the joint.
- The bones shift out of place after initial casting.
- The wrist appears deformed or shortened.
- There is severe swelling or nerve compression.
A common surgical method is volar plating, where a small metal plate and screws are used to hold the bone in place. This helps restore stability and allows for earlier controlled movement during recovery.
What Can I Expect During Recovery?
Whether treated surgically or non-surgically, healing typically takes about six to eight weeks. During this time:
- Keep your wrist elevated to reduce swelling.
- Follow your doctor’s advice on movement. Early finger and wrist exercises (once safe) help prevent stiffness.
- Avoid heavy lifting or pushing until cleared by your doctor.
- Attend follow-up appointments to check bone alignment and healing progress.
After the cast or splint is removed, physiotherapy can help restore flexibility and strength.
FAQs About Wrist Fracture Treatment
1. How do I know if my wrist fracture needs surgery?
Your orthopaedic doctor will assess X-rays to determine bone alignment. If the fracture is displaced or unstable, surgery may be needed for proper healing.
2. What is the difference between casting and volar plating?
Casting keeps bones aligned externally while they heal naturally. Volar plating uses internal fixation (a plate and screws) for stability, especially in complex or unstable fractures.
3. How long will it take before I can use my hand normally again?
Most patients regain light use within a few weeks, but full strength and flexibility may take several months, depending on the injury and treatment method.
4. Will I have a scar after wrist surgery?
Surgical incisions are usually small and placed on the palm side of the wrist. Over time, the scar fades with proper care.
5. Can a wrist fracture heal incorrectly if untreated?
Yes. Without proper alignment, the bone can heal in a deformed position, causing chronic pain, reduced grip strength, or wrist stiffness.
Get Help for Your Wrist Injury
At Orthocare Orthopaedics & Sports Medicine, Dr Ananda Vella provides comprehensive evaluation and treatment for wrist fractures and other orthopaedic injuries. Through detailed assessment, imaging, and tailored care, whether through casting, physiotherapy, or surgical fixation, you can recover with confidence and regain full wrist function.
If you’ve recently injured your wrist or your pain hasn’t improved, don’t wait it out. Book a consultation today to find out whether your fracture needs surgery and how to recover safely.
