Novel wire external fixation technique for proximal phalanx pilon fractures: technique and 2 case reports.

Unstable, severely comminuted fractures of the base of the proximal phalanx are often difficult to treat. We have been treating pilon-type fractures about the metacarpophalangeal joint using a novel external fixation technique with success. We present 2 examples of comminuted base of proximal phalanx fractures were treated successfully using the distraction external fixation with excellent outcomes. We believe that our technique is easily reproducible, relatively inexpensive, facilitates wound care, and enables early mobilization.