Abstract: Objective To investigate the clinical effect of using K wire to treat the proximal phalangeal fractures of lesser toes. Methods Between June 2012 and June 2014, 18 patients with proximal phalangeal fractures of lesser toes were treated with K wire, to evaluate the fracture healing, loss of fracture reduction, complications and the occurrence of the corpus callosum. Results Patients in this group were followed up for 6-40 months with an average of 22 months. All fractures were healed without loss of fracture reduction. There were no infection, no K wire breakage, 2 patients with K wire pull out and no formation of the corpus callosum. Conclusion Closed reduction and percutaneous K wire fixation to treat proximal phalangeal fractures of lesser toes were reliable and effective.

Key words: Phalanges, Fracture, K wire, Fixation