Objective To probe a new simpler and activer method of the treatment for metacarpel a nd phalangeal fractures about joint an d unstable metacarpel and phalangeal fractures.And to introduce a new external fixation device for hand.Methods Since 1996thirty cases metacarpel a nd phalangeal fractures(including metacarpel and phalangeal body frac tures 18cases,metacarpel and phala neal head fractures 12cases;closed fracture 25cases,open fracture 5ca ses;simple fracture 24cases,unsta ble fracture 6cases)have been treated with a new external fixation device.Results All the patients were followed up for an average of 4.5months.The thirty patients were all healed.The time of fracture heal is 4~8weeks.According to TAM standard excellent and good rate is 86.7per ce nt.Conclutions The form of external fixation device for hand is simpleand active.It hold the bone fixedly.It also has a very good effect o n metacarpel and phalangeal head fractures and unstable fractures[