Explaining the Surgery Nikola Vučević Underwent to Repair His Broken Finger

In this story:
The Celtics announced on Saturday that recently acquired center Nikola Vučević could miss nearly a month after surgery to repair a fracture in his right ring finger.
Here’s their full statement:
“Celtics center Nikola Vučević today underwent successful ORIF surgery to stabilize a fracture in his right ring finger. The surgery was performed at New England Baptist Hospital by Dr. Herve Kimball, assisted by Celtics Team Physician Dr. Tony Schena. Vučević will be reevaluated in 3-4 weeks, and further updates will be provided as appropriate.”
So what is ORIF surgery?
It stands for “Open Reduction Internal Fixation,” or in layman’s terms, an incision is made and some sort of stabilizing device like screws, a plate, or both, are used to put the bone back in place.
According to the Cleveland Clinic, there are three types of fractures that generally require this kind of surgery:
1. A compound fracture, which is when the broken bone has pierced through the skin.
2. Comminuted fractures, which is when the bone is broken in multiple places
3. Displaced fractures, which is when the fractured piece of bone has moved and created a gap.
The Celtics did not say what it was, but we can rule out a compound fracture because Vučević didn’t immediately run to the locker room. Comminuted fractures are serious and take a long time to heal, so we can rule that out as well.
Displaced and non-displaced fractures are common in basketball. Baylor Scheierman is playing through a thumb fracture, which we can assume is non-displaced. That means the bone is, indeed, broken, but it’s still connected to the other piece of bone, thus it can heal on its own so long as it’s not jostled in any violent way. The brace the medical staff has fashioned for Scheierman is designed to prevent that.
So because of the ORIF surgery, we can assume Vučević has a displaced fracture in his right ring finger which would not heal properly on its own because of the gap between the broken portion of the bone and the rest of the finger. Generally, screws, a plate, or some kind of fastener presses the bone together to hold it in place and accelerate the healing process.
It’s possible Vučević will need a future surgery to remove whatever fasteners are used, but it also may not be necessary.
Three weeks from today puts his early return date somewhere around March 28. The Celtics have a home game on March 27 and road games on the 29th and 30th. An optimistic timeline would give him about 10 games or so to get back into the flow with Jayson Tatum and the rest of the Celtics.
One silver lining is that a finger injury won’t affect his ability to run or keep his cardio up during his time off. He’ll be able to do non-contact work, which can minimize the impact of the injury. Anything that keeps him sharp will be helpful during his recovery.

John Karalis is a 20-year veteran of Celtics coverage and was nominated for NSMA's Massachusetts Sportswriter of the Year in 2019. He has hosted the Locked On Celtics podcast since 2016 and has written two books about the Celtics. John was born and raised in Pawtucket, RI. He graduated from Shea High School in Pawtucket, where he played football, soccer, baseball, and basketball and was captain of the baseball and basketball teams. John graduated from Emerson College in Boston with a Bachelor of Science degree in Broadcast Journalism and was a member of their Gold Key Honor Society. He was a four-year starter and two-year captain of the Men’s Basketball team, and remains one of the school's top all-time scorers, and Emerson's all-time leading rebounder. He is also the first Emerson College player to play professional basketball (Greece). John started his career in television, producing and creating shows since 1997. He spent nine years at WBZ, launching two different news and lifestyle shows before ascending to Executive Producer and Managing Editor. He then went to New York, where he was a producer and reporter until 2018. John is one of Boston’s original Celtics bloggers, creating RedsArmy.com in 2006. In 2018, John joined the Celtics beat full-time for MassLive.com and then went to Boston Sports Journal in 2021, where he covered the Celtics for five years. He has hosted the Locked On Celtics podcast since 2016, and it currently ranks as the #1 Boston Celtics podcast on iTunes and Spotify rankings. He is also one of the co-hosts of the Locked on NBA podcast.
Follow John_Karalis