22 patients who had closed displaced metacarpal shaft fractures, treat
ed by transverse percutaneous K-wire fixation were reviewed. In 11 cas
es, 1 distal and 1 proximal wire were inserted and in the rest, 2 dist
al and 1 proximal wire were used. The results in patients treated with
a single distal wire were unsatisfactory due to pivoting of the dista
l fragment on the wire with consequent angulation and cosmetic deformi
ty. In those who had 2 wires inserted distally, the reduction position
was maintained throughout.