AIM Finger injuries always needs expert care considering the static, dynamic and sensory functions the hand does to an individual. Here we present a series of cases who underwent an Unique external fixation technique which is simple and stable to over ride the complications of surgery post operatively. METHODOLOGY 21 Patients (9 Females and 12 Males. ) who had Proximal, Middle phalanx fractures of different fingers(Transverse/Intraarticular) were chosen for this case series. Combination of 4 K wires and AO/JESS fixator is used in this technique under C arm guidance. In case of open fractures ( 4 cases ) the soft tissue component is addressed first and then the same technique of application of fixator is followed. Immediate mobilisation is done post operatively with the support of analgesics and antibiotics if needed.Regular follow ups were done until 3 months post operatively. RESULTS The VAS score decreased from 10 to 1 during the first 3 weeks of recovery. Adequate analgesics and Antibiotics were given Post operatively. All the closed fracture cases were discharged on the same day as Day care procedure and Open injury cases were retained for 2 days to have a wound dressing done. There were no case of stiffness, infection or fixator loosening reported and there was a mild bow stringing effect for one volar open injury. Complete fracture union was achieved in 3 months time which was documented clinically and radiologically. One case had a malunion of the proximal phalanx of the thumb but functionally he had good results. CONCLUSION The technique of External fixation described is an excellent approach to aid in fracture healing, preventing stiffness and it is also cost effective.

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