Outcomes of treating hand fractures without using immobilization

The results of functional treatment, without immobilization, in 7 patients with stable fractures of the metacarpal bones and phalanges is reported. Each patient was instructed to make a full flexion and extension of all fingers in 1 block (fingers kept close each other). No immobilization was used. The results were assessed at 1 month and 3 months from the beginning of therapy. All patients achieved consolidation of their fractures confirmed radiologically at 3 months. All patients achieved full finger movement and very good function of the hand. No change of treatment into operative was necessary. The results of this study demonstrate that the treatment of stable fractures of the metacarpal bones and phalanges according to the presented “functional” protocol is safe, well tolerated by the patients and gives good outcomes.