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Alternative: K-wire fixation

For simple fractures, manual reduction and percutaneous fixation with K-wires may also be considered. The K-wire is inserted percutaneously into the distal phalanx across the DIP and PIP joints, along the central axis of the toe.

The head is manually reduced and the K-wire is advanced across the MTP joint into the metatarsal shaft. The K-wire can either exit the metatarsal shaft or enter the proximal cuneiform.