Background: Metacarpal Fractures of the and phalanges are typical hand injuries that often need for surgical intervention. Kirschner wires (K-wires) and the tension band wiring technique are often employed for open reduction and internal fixing. Methods: Twenty patients at Benha University Hospitals had metacarpal or phalangeal fractures in this prospective investigation. Patient characteristics, fracture characteristics, injury causes, time to surgery, and co-morbidities were all evaluated clinically. In radiological evaluations, the conventional perspectives were used. Six months of postoperative monitoring included checks on range of motion, grip strength, and alignment. The Belsky scale was employed to measure functional results, and both patient happiness and complications were recorded. Results: There was a statistically significant increase in mean TAM from 6 weeks post-op to 3 months post-op, as measured by TAM (p=0.008). Six months after surgery, TAM was significantly higher than it had been six weeks after surgery (p0.001). There were three patients who scored well (17.6 percent), eight patients who scored favourably (47.1 percent), and six patients who scored poorly (35.3 percent) after six weeks. The Belsky score was significantly higher three months after surgery compared to six weeks after surgery (p=0.023). Twelve patients (70.6%), or slightly more than half, had an excellent score at 6 months, while four patients (23.5%) had a good score, and only one patient (5.9%), or slightly less than half, had a bad score with substantial improvement from 6 weeks post-operation (p=0.04).