0.045-in K-wire is placed percutaneously into the tip of the finger and advanced into the distal fragment parallel to the dorsal cortex and centrally located in both the A/P and lateral planes.
K-wire is advanced to the fracture site.
Fracture is reduced usually with simple longitudinal traction.
K-wire can be used as a joystick
Anatomic reduction is varified in both the A/P and lateral planes.
K-wire is advanced into the proximal fragment and seated into the subchondral bone without violating the joint.
Proximal fractures may require DIP cross fixation for stability.
Ensure there is no distraction across the fracture site.
