Fractures of the hand are tipically concerning with metacarpus, falanx or wrist. They are supposed to be compound or displaced. In case of compound fractures, the surgeon usually chooses a conservative treatment such as retaining plaster. In case of multi-fragmentary or displaced fractures there are at least two different options: reduction with Kapandji technique (use of K wires combined with retaining plaster) or Orif technique. Finally, in case of displaced or exposed fractures and, consequently, risk of surgical site infection underneath, it would be better to adopt external fixation. In case of high energy traumas involvig distal radius and distal ulna, it is recommanded the use of dedicated perosthesis. In terms of tratments about fractures of the scafoid the golden standard is the osteosynthesis by means of titanium cannulated screws.