Complications in phalangeal and metacarpal fracture management. Results of extensor tenolysis.

Extensor tendon adherence and joint contracture after phalangeal and metacarpal fracture are common complications that affect finger motion and hand function. The results obtained by extensor tenolysis and dorsal capsulotomy are discussed in this article. Surgical outcome was evaluated as it related to extensor tenolysis and capsulotomy relative to the final total active motion, total passive motion, and active extensor lag. This information will be useful in discussing the expected results of surgery with the patient and in guiding postoperative rehabilitation.