Local anaesthesia is usually used for the surgery. This causes numbness, enabling the patient to stay awake throughout the procedure. The surgeon makes an incision near the base of the thumb to access the fractured bones. The displaced bones are carefully repositioned to restore alignment. Internal fixation devices, such as screws or pins, are used to stabilise the fractured bones and maintain proper alignment during the healing process. The incision is closed with sutures.
After the surgery, patients typically undergo a period of rehabilitation and physical therapy to regain strength, mobility, and function in the thumb. The specific postoperative care plan may vary depending on the severity of the fracture and the surgical technique used. Following Bennett fracture fixation surgery, the immediate postoperative period involves the thumb’s immobilisation with a splint or cast, accompanied by pain management. In the first weeks, follow-up after-care appointments monitor healing, and potential adjustments to the splint may be made. Elevation and ice help manage swelling. Between weeks 3-6, controlled thumb movement may be initiated, and physical therapy may commence to improve the range of motion and prevent stiffness. From weeks 6–12, a gradual return to activities may be allowed, and physical therapy focuses on strengthening. Full recovery, including a return to normal activities, can take several months, with regular follow-up appointments to monitor progress.