Distal Radius ORIF (Open Reduction and Internal Fixation)

What to Expect After Surgery

• Swelling, bruising, and soreness in the wrist, hand, and forearm are normal.
• Tightness or stiffness is common, especially in the fingers.
• Pain should gradually improve, though some discomfort may persist for several weeks.

Splint & Wound Care

• You will leave surgery in a splint.
• Keep the splint on at all times until your first post-op appointment (about 2 weeks after surgery).
• You may loosen the outer bandage of the splint if it feels too tight, but do not remove the splint.
• Do not get the splint wet — cover it while A cast guard may be purchased online.
• At your post-op visit, we will remove the splint and check your incision.

Activity

• Begin moving your fingers right Make a fist and fully straighten your fingers several times each day to reduce stiffness and swelling. You may use your other hand to help aid in making a fist and fully straightening your fingers.
• Do not lift, push, or pull with your surgical arm until cleared by our clinic.
• Light activities that do not involve stress on the wrist are okay as tolerated.

Pain Management

• If you had a nerve block, please start taking pain medication prior to feeling pain.
• Take prescribed pain medication as directed.
• You may add or alternate with ibuprofen (Advil, Motrin) or another over-the-counter anti-inflammatory if needed, unless otherwise instructed.
• Elevating your arm and applying ice (15–20 minutes at a time) can help reduce swelling and discomfort.

Follow-Up

• Your first post-op appointment will be in 10-14 days. At this visit, we will remove your splint, check the incision, and review the next steps in your recovery.

Call Our Office If You Notice:

• Redness, warmth, or drainage at the incision site
• Fever or chills
• Severe or worsening pain not relieved with medication
• Numbness, tingling, or inability to move your fingers