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brightness_autoPeace be upon you.
Grand Ayatollah Sayyid Khamenei (may Allah protect him):
Firstly, it is unclear why the doctor has prohibited you from wetting the cast. In the case of wudu with a cast, it is sufficient to wipe the cast with a wet hand, and the amount of water used should not cause the cast to become wet or reach the fracture site. Therefore, you do not need to resort to tayammum; rather, you should wash the exposed areas, even if they are few, and wipe over the cast.
Secondly, it is not a requirement for the hands to be aligned during prostration. If one hand is ahead of the other, there is no issue, and the prostration is valid. If you cannot place your broken hand on the ground at all, you should place the closest part of your hand, such as the forearm or elbow, and not rely solely on placing the healthy hand.
Source: Educational Message, Purity, Wudu (4), Meaning of Wudu with a Cast + Tahrir al-Wasilah, Prayer, Actions of Prayer, Prostration, M 1
Grand Ayatollah Sayyid Sistani (may Allah protect him):
Firstly, it is unclear why the doctor has prohibited you from wetting the cast. In the case of wudu with a cast, it is sufficient to wipe the cast with a wet hand, and the amount of water used should not cause the cast to become wet or reach the fracture site. Therefore, you do not need to resort to tayammum; rather, you should wash the exposed areas, even if they are few, and wipe over the cast, and it is obligatory to wash the area around the cast as a precaution.
Secondly, it is not a requirement for the hands to be aligned during prostration. If one hand is ahead of the other, there is no issue, and the prostration is valid. If you cannot place your broken hand on the ground at all, it is obligatory to place the closest part of your hand, such as the forearm or elbow, and not rely solely on placing the healthy hand.
Source: Minhaj al-Salihin, Vol. 1, Rulings on Casts + Prostration, First
May you be successful in all good.