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It is not common to treat a mallet finger surgically if bone fragments or fractures are not present. Surgical treatment of the damaged tendon usually requires a tendon graft â tendon tissue that is taken (harvested) from another part of your body â or even fusing the joint straight.he injury may rupture the tendon or pull the tendon away from the place where it attaches to the finger bone (distal phalanx). In some cases, a small piece of bone is pulled away along with the tendon. This is called an avulsion injury. (Top) A rupture of the extensor tendon.
What to do: 1  X ray the finger to rule out an underlying fracture of the distal phalanx and test for a possible avulsion of the extensor tendon. 2  Paint the nail with 10% povidone iodine (Betadine) solution. 3  Adhere to universal blood and bodily-fluid precautions (blood is under pressure and may spurt out). If there is an underlying fracture, instruct the patient to keep his finger as dry as possible for the next ten days and return immediately at the first sign of infection. 2  A protective aluminum finger tip splint may also be comforting, especially if the bone is fractured.