What are the complications from surgical management of mallet finger?

Updated: Aug 27, 2018
  • Author: Roy A Meals, MD; Chief Editor: Harris Gellman, MD  more...
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Answer

Complications from open surgical management abound. Often, the small bony fragment is more comminuted than it appears on a radiograph, or it becomes comminuted during the effort at anatomic reduction and internal fixation. Mobilization of the fragment in an effort to obtain an anatomic reduction can further devitalize the fragment, leading to a risk of avascular necrosis. Infection, stiffness in extension, nail-bed damage, and chronic tenderness are other well-known problems of open treatment.


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