Metacarpal shaft fractures treated with a stylet of 18–20-gauge spinal needles as an intramedullary elastic nail and K wire were examined for sequelae. From 6 weeks to 6 months, range of motion was measured. Michigan's score assesses. Both groups had similar complications. Infection and stiffness were the main problems in this study. Patients treated with a spinal needle stylet and a k-wire had 8.7% and 13.1% infection, respectively, and 10.9% and 15.2% stiffness