In phalangeal fracture the earliest and least expensive techniques for management involve immobilization followed by protected motion with splinting. Prolonged immobilization may be necessary for healing without internal fixation. Unfortunately, more than 3 weeks of immobilization can cause finger stiffness and tendon adhesions. Every effort should be made to allow finger movement by 3-4 weeks after injury. Minimal invasive methods for reduction as (percutaneous pinning, percutaneous mini screw fixation, intramedullary rodding, external fixation) can repair and/or reconstruct phalanges with decreased trauma to the tissue and gliding planes will improve and accelerate outcomes.