Small external fixators have been developed for use in the hand and wr
ist. The main indications are stabilization of open or infected fractu
re or non-union of the metacarpals and phalanges; length maintenance i
n segmental bone loss; and distraction-lengthening of the fingers. The
device may be used also for. articular or periarticular fracture, clo
sed diaphyseal fracture in adults, fracture in children, various arthr
odeses, or corrective osteotomies.