We have developed a method of manipulation and external fixation of
metacarpal fractures using Kirschner wires bonded with acrylic resin. This
simple procedure requires no special instruments and it facilitates
accurate reduction and stable fixation of the fracture while allowing free
movement of the hand. Access to the wound is unhampered in open fractures.
Thirty-six fractures were treated by this technique. All healed within five
weeks, during which time free movement of the hand was encouraged. There
were no complications.