Can I exercise without removing the internal fixation after a hand fracture?

In general, whether exercise is possible without removing internal fixation after hand fracture depends on the patient's recovery status. The specific analysis is as follows:

If, after examination following a hand fracture, bone healing is progressing well, the internal fixation remains stable without loosening, and there are no obvious symptoms such as pain or swelling, moderate exercise may be performed under medical guidance. Exercises should begin with gentle movements, such as slowly bending and straightening the finger joints or gently rotating the wrist. Excessive force or weight-bearing activities should be avoided to maintain joint flexibility, prevent muscle atrophy, and avoid causing secondary injury to the fractured area.

If bone healing is poor after the hand fracture—characterized by slow callus formation, clearly visible fracture lines, or loosening or displacement of the internal fixation—accompanied by local pain and swelling, exercise is not recommended. Exercising blindly may lead to uneven stress on the fracture site, worsen the loosening of internal fixation, potentially cause fracture displacement, prolong recovery time, and impair functional recovery of the hand.

Prior to exercising during internal fixation for a hand fracture, patients should first undergo imaging examinations at the hospital to confirm the status of bone healing. Exercise must strictly follow the program prescribed by a physician, with controlled range and intensity of movement. Activities that could injure the fracture site—such as lifting heavy objects or vigorous swinging—should be avoided. If increased pain, numbness in the fingers, or other discomfort occurs during exercise, activity should be stopped immediately and medical attention sought. Daily precautions should include protecting the hand from impact or compression, maintaining hand hygiene, and preventing infection.