Phone: 817-697-4038 Fax: 877-409-3962


If you need a metacarpal fracture fixation, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is A Metacarpal Fracture Fixation?

Metacarpal fracture fixation is a surgical procedure performed to stabilize and align fractured metacarpal bones in the hand. The metacarpals are the long bones in the hand that connect the wrist bones (carpals) to the bones of the fingers (phalanges). Fractures of the metacarpal bones can occur due to various reasons, such as trauma, crush injuries, or sports-related incidents.


  • Metacarpal fracture fixation is indicated when a metacarpal bone is significantly displaced, unstable, or comminuted (broken into multiple pieces), and conservative treatments such as casting or splinting are not adequate to achieve proper alignment and healing.
  • The surgery is also considered in cases where the fracture has caused damage to nearby structures, such as nerves or blood vessels.


  • The surgery is typically performed under regional or general anesthesia, depending on the patient’s condition and the extent of the fracture.
  • During the procedure, the surgeon makes incisions over the fractured metacarpal bone to expose the broken ends.
  • The fractured segments are then carefully realigned and stabilized using various methods, such as:
    • Internal fixation: This involves using screws, pins, wires, plates, or intramedullary rods to hold the fractured fragments in place.
    • External fixation: In some cases, an external fixator (a device outside the body) may be used to stabilize the fracture.
  • After fixation, the incisions are closed with stitches, and a splint or cast may be applied to support the hand during the initial healing phase.


  • The recovery time after metacarpal fracture fixation varies depending on the extent of the fracture and the surgical technique used.
  • Physical therapy or hand rehabilitation may be recommended to improve hand and finger mobility, strength, and function.
  • The patient may need to wear a protective splint or cast for several weeks to allow the bones to heal properly.


  • The success of metacarpal fracture fixation depends on various factors, including the type of fracture, the surgical technique used, and the patient’s adherence to postoperative care and rehabilitation.
  • In many cases, metacarpal fracture fixation provides stable and proper alignment of the fractured bones, leading to good functional outcomes and a return to normal hand use.

Metacarpal fracture fixation is generally considered a safe and effective treatment for certain types of metacarpal fractures. However, as with any surgical procedure, there are risks involved, and patients should thoroughly discuss the benefits, risks, and potential complications with their surgeon before proceeding. The procedure should be performed by a qualified hand surgeon experienced in treating hand and finger fractures to ensure the best possible outcomes.


If you would like to speak to an Orthopedic Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.