How bad does a boxers fractue need to be before surgery?

Surgery for a boxer's fracture may be necessary in several situations.

Displaced fracture: If the bone fragments have shifted significantly out of place (displaced), surgery may be required to realign them and ensure proper healing.

Severe pain or impaired function: If the boxer's fracture causes severe pain or significantly affects hand function, surgery may be necessary to alleviate these symptoms and restore the hand's functionality.

Multiple fractures or associated injuries: In cases involving multiple fractures or additional injuries to the hand, such as damaged ligaments or tendons, surgery may be necessary to address all the injuries simultaneously.

Failed conservative treatment: If conservative treatments, such as immobilization with a cast or splint, don't effectively manage the fracture or address the symptoms, surgery may become necessary to achieve a successful outcome.

Chronic or neglected fractures: In some cases, if a boxer's fracture has been present for an extended period or healing isn't progressing as expected, surgery might be needed to correct any complications or promote proper healing.

Ultimately, the decision to proceed with surgery for a boxer's fracture is made by a medical professional, typically an orthopedic surgeon, after carefully evaluating the severity and specific characteristics of the fracture, as well as the patient's overall condition and individual needs.