Skip to main content
Skip to article content
Hand surgery education

Extensor tendon repair

Surgical repair of a cut or torn extensor tendon that straightens a finger or the thumb. Like flexor repairs, protection and motion rules are protocol-driven.

  • Phases

    3

  • Red flags

    3

  • Sources

    1

Editorial content last reviewed 2026-04-30. Always follow your own clinical team.

Why it's done

  • Unable to fully straighten a finger or thumb after a cut or avulsion injury
  • Disruption of the extensor mechanism at the wrist or finger

Related condition overview

Our learn library has a separate page on Mallet finger — helpful context alongside this surgery overview.

Open Mallet finger

Typical recovery phases

General patterns only — your protocol wins.

  1. Phase 1Weeks 0–4

    Protect the repair; maintain extension as directed.

    Wear your splint exactly as prescribed; avoid letting the tip drop if the DIP is involved.

  2. Phase 2Weeks 4–8

    Gradually increase active extension and gentle flexion.

    Progress only with therapist and surgeon clearance.

  3. Phase 3Weeks 8–12

    Light strengthening and return to daily tasks.

    Avoid forceful gripping until cleared.

Red flags — call your team

  • Sudden loss of extension — possible tendon gapping
  • Increasing redness, drainage, or fever
  • New numbness or color change

Splints you may wear

Related motions in the movement library

Canonical hand-therapy movements linked to this condition for education — not a substitute for your own program or clearance.

Sources