Tension band arthrodesis. A, Phalangeal osteotomy. Cuts are made parallel at desired angle with oscillating saw. B, Hole for 25-gauge or 26-gauge stainless steel wire made through middle phalangeal base dorsal to midaxial line. C, Retrograde insertion of 0.028-inch or 0.035-inch Kirschner wire into proximal phalanx. D, Kirschner wire driven into anterior cortex of middle phalanx. E, Figure-of-eight tension band created and tightened. SEE TECHNIQUE 73.14.