Children can be considered for conservative treatment after a hand fracture as long as the fracture alignment is good, even if there is some degree of lateral displacement, shortening deformity, and comminuted fracture, using plaster fixation or external fixation with a small splint. Because children are more malleable and can correct deformities that cannot be corrected by adults during their daily growth and development, most hand fractures can be treated conservatively with good results. Only a very small number of fractures with extremely poor alignment, resulting in open fractures, require surgical treatment. After surgical treatment, once the fracture has reached bony healing, the internal fixation must be removed as soon as possible to prevent it from affecting growth and development.