Same-Day Surgery for Simple Fractures

Same-Day Fracture Surgery with Regional Anesthesia and Minimal Incision

For upper or lower limb fractures that can be treated under regional anesthesia and reduced and fixed through a minimal incision, we perform same-day surgery.

Real Treatment Cases

X-ray image before boxer's fracture surgery — Before surgery

X-ray image after boxer's fracture surgery — After surgery

Video, 22 days after surgery

Fist Impact: 5th Metacarpal

A Boxer's Fracture After Punching a Wall

https://blog.naver.com/one-step-everyday/223921303038

Situation: After a punching injury, the outer side of the hand was swollen and painful, and an X-ray confirmed a fracture of the 5th metacarpal neck.
Treatment focus: The bone is reduced and fixed with a pin. Placing the pin inside the bone through a small incision can allow for earlier hand washing and light use.
Recovery guidance: Once the condition stabilizes, finger motion typically begins around 1 week, and pin removal is planned around 6 to 8 weeks.

X-ray image before surgery for a little finger PIP joint fracture — Before surgery

X-ray image after surgery for a little finger PIP joint fracture — After surgery

X-ray comparison image before and after surgery for a little finger PIP joint fracture — Before/after comparison

Video, 4 weeks after surgery

Basketball Injury: Little Finger Joint

A Fracture Where the Middle Finger Joint Bends and Partially Dislocates

When a fracture at the middle finger joint (PIP joint) involves more than one-third of the joint surface, it is accompanied by dislocation and surgical reduction is needed.

https://blog.naver.com/one-step-everyday/223857462210

Situation: After being struck by a ball or bent, the finger joint appears misaligned, showing V-shaped instability.
Treatment focus: Surgery is considered when a significant portion of the joint surface is broken and subluxation is present. When scarring is a concern, pin fixation through as small a wound as possible is also considered.
Recovery guidance: After pin removal, joint motion exercises continue to help prevent stiffness during recovery.

Blog case X-ray image after surgery for a fingertip and metacarpal fracture — X-ray taken after fixation of the fingertip and metacarpal.

Bicycle Accident: Fingertip and Metacarpal

A Combined Hand Fracture Involving Both the Fingertip and Metacarpal

Treating a hand fracture involves more than just uniting the bone; we also plan the timing for starting rehabilitation so the finger can move again.

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Situation: This involves a comminuted fingertip fracture together with multiple metacarpal fractures, or fingertip fractures accompanied by nail bed tissue injury.
Treatment focus: For the fingertip, we check both the nail bed wound and the bone together, while the metacarpal is fixed securely to allow early joint motion.
Recovery guidance: With stable fixation, some joints can be carefully moved starting soon after surgery.

Blog case X-ray image of the healing course of a pediatric clavicle fracture — Images showing a pediatric clavicle fracture forming callus and healing over time.

Pediatric Clavicle: Mostly Non-Surgical

Children's Clavicle Fractures Often Remodel and Improve as They Grow

Unlike in adults, treating a child's fracture takes into account both healing capacity and the bone's ability to remodel.

Situation: A young child developed a clavicle fracture after a fall. In children, the periosteum is thicker and healing capacity differs from adults.
Treatment focus: Most cases are treated first with a brace and observation rather than surgery. However, if the fracture is completely displaced or there are skin, nerve, or vascular problems, a separate assessment is needed.
Recovery guidance: Over several weeks, callus forms, and the bone shape can remodel further as the child grows.

Blog case X-ray image of a fingertip fracture — X-ray taken to check for a fingertip fracture. The wound and the nail bed condition are also examined.

Fingertip Trauma: Subungual Bleeding and Infection

Even a Simple-Looking Fingertip Fracture Requires Careful Wound Care

Some fingertip fractures can be treated with a small splint alone, but the nail bed wound and any risk of infection must also be checked.

Situation: After the finger was caught in a door, a fingertip fracture and subungual bleeding occurred; the pain eased and the injury was left untreated, allowing an infection to progress.
Treatment focus: We check not only the bone but also the nail bed wound, any pus, and the possibility of bacterial infection. If pus has formed, antibiotics alone may not be enough, and drainage and irrigation may be needed.
Recovery guidance: Following the early splint, disinfection, and follow-up schedule can reduce the need for more extensive treatment.

The images and descriptions above are summarized examples based on blog content, provided to aid understanding. Even for the same type of fracture, the treatment plan may vary depending on age, occupation, fracture angle, joint involvement, and whether a wound is present.

Accurate reduction and secure fixation are the starting point for a fast recovery.

How Treatment Proceeds

01
X-ray Assessment
Initial evaluation
We assess the degree of fracture, alignment, and nerve and vascular status.
02
Reduction (Realignment)
Local anesthesia
The displaced bone is realigned to its original position and confirmed immediately with a follow-up X-ray.
03
Fixation
The area is securely immobilized with a splint or cast, and swelling is monitored.

Recovery and Precautions

The immobilization period is usually 4 to 8 weeks, depending on the site and severity.

During the first 2 to 3 weeks, swelling is managed with elevation and cold compresses.

Avoid excessive use or weight-bearing until the fixation device is removed.

If your fingers become pale, numb, or cold, or if pain suddenly worsens, please contact us right away.

Frequently Asked Questions

QCan I really go home the same day?

If reduction and fixation go well and swelling is not severe, same-day discharge is possible. We recommend avoiding driving that day and coming with a caregiver.

QCould surgery be needed later?

Simple fractures are often adequately treated without surgery, but if alignment is lost or healing is delayed, surgery may be considered, so regular follow-up is important.

QCan I go about daily life while wearing a cast?

With a hand fracture, most light daily activities are still possible, while a leg fracture requires crutches. We guide you in gradually increasing activity.

Do not put off persistent pain. Have it checked.

Our staff can guide you during clinic hours. Call us if you have questions before your visit.

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