Recent studies have shown good functional results with surgical treatment of metacarpal and phalangeal fractures using various modalities of internal fixation compared to the conservative treatment. This study involves evaluating functional outcome of metacarpal and phalangeal fractures treated by various modalities of internal fixation. The present study was planned with the objective to assess the functional outcome of metacarpal and phalangeal fractures treated by various modalities of internal fixation. The study was planned in the Department of Orthopaedics in Nalanda Medical College and Hospital, Patna from Jun 2018 to Dec 2018. Total 15 patients diagnosed with displaced midshaft metacarpal and phalangeal fractures were included in the present study. The approval of the institutional ethical committee was taken prior to conduct of the study. All the patients were informed consents. The aim and objective of the present study were conveyed to them. Detailed clinical and radiological assessment of fracture and careful preoperative planning, meticulous dissection and precision in surgical technique and choosing the correct implant are critical in achieving good results and minimising the complication.