Department of Orthopaedic, Scarborough Teaching Hospital, Scarborough YO12 6QL


The current technique using K wires for the fixation of unstable proximal phalangeal fracture of the hand provides a stable construct without compromising joint mobility and soft tissue. These features are otherwise very difficult to fix. The technique involved ante grade introduction of K-wires from the proximal part aiming to the condyles and crossing the wires with the wire from the other condyle beyond the fracture plane to avoid distraction. The wires will then be pulled until the proximal end is buried in the condyles. The exit of the wires is proximal to the proximal interphalangeal joint.