There are diagnostically and therapeutically difficult problems in post-traumatic contracture in the hand. We have treated surgically 5 cases with post-traumatic contracture in the hand that consist of a variety of pathogenesis: adhesion of the extensor apparatus on the dorsum of the PIP joint, ischemic intrinsic plus contracture, flexor adhesion in the carpal tunnel and others.
The therapeutic problems are as follows;
1. strict diagnosis of pathogenesis,
2. adequate exercise using dynamic splint,
3. atraumatic technique, and
4. reconstructive surgery according to patient's needs.
