HEALTH
Healing Hands: The Impact of Movement Timing After Finger Surgery
Fri May 16 2025
A recent study looked into how soon people start moving their hands after surgery can affect how well they heal. The focus was on people who had surgery to fix broken bones in their fingers or hands. The goal was to see if starting to move the hand sooner or later after surgery makes a difference in how well the hand heals and how well it works afterward.
The research team dug through a lot of studies. They found 53 that fit what they were looking for, involving 1822 hand fractures that were fixed with surgery. They wanted to see if starting to move the hand right away, a few days later, or even later made a difference in how well the bone healed, how well the hand worked, and if there were any problems.
The findings showed that starting to move the hand right away, within a day of surgery, led to the fastest bone healing. On average, the bone healed in about 38. 7 days. Starting to move the hand within a week took a bit longer, around 49. 6 days. Interestingly, waiting more than a week to start moving the hand had the fewest problems, with only 9. 3% of people having issues compared to 25% of those who started moving their hand within a week.
However, the results were not clear-cut. The studies had different ways of measuring how well the hand healed and worked. This made it hard to say for sure what the best time to start moving the hand is. The research showed that there is a lot of variety in how people heal and what works best for them.
The study highlighted the need for more research. A big, multi-center study that looks at when to start moving the hand after surgery, how well it works, and how much it costs could help doctors make better decisions. This could lead to better care and outcomes for people who need this type of surgery.
The study also showed that starting to move the hand too soon might lead to more problems. But waiting too long might mean the bone takes longer to heal. It's a balance that doctors need to figure out for each person. The study suggests that more research is needed to find the best balance for each person.
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questions
How might a multi-centre RCT address the limitations identified in the current literature on post-ORIF mobilisation?
What specific patient-reported outcome measures (PROMs) were most affected by the timing of mobilisation post-ORIF?
Do doctors recommend delayed mobilisation just to give patients an excuse to binge-watch TV with their casted hand?
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