Phalangeal fractures of the hand are common and potentially debilitating. The majority of these fractures may be treated conservatively. Surgery may speed recovery and avoid complications such as malunion and arthrosis in selected cases. A variety of procedures offer either relative or absolute stability. A review of the management of phalangeal fractures will be presented. Treatment options, rehabilitation and common complications are discussed. Early mobilization of the fractured hand is emphasized since soft tissue recovery can be more problematic than that of bone.