Numerous techniques have been described for internal fixation of displaced intra-articular fractures of the phalanges, including percutaneous pinning, microplating, interosseous wiring and tension banding techniques. One method, described by Rayhack and Bottke, is a modified tension banding method using a K-wire and a stainless steel wire. Although this technique has been found to be very useful, certain complications have led to the development of a modification of this technique.
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