Background: The value of external fixation in complex hand injuries is well established. Expenses and technical difficulties ofcommercial mini external fixator sets have led to the innovation of HANDMADE external fixators. These fixators are used as versatilefacilities to treat certain hand fractures. Usually, these structures are made by k-wires crossed filled with cement plastic tube. However, these fixators have multiple deficiencies that should be addressed. Objectives: In this study, we described in detail the surgical technique of a HANDMADE concrete like mini external fixator and reportits clinical use and results. Methods: Our HANDMADE external fixator was applied for 52 patients with 56 fractures. Only 5% of the fractures were closed, noncomminutedextra-articular, and the other 51 fractures were more complex injuries. The mean follow up time was 9. 3 months. Atthe end of the follow up, radiologic and functional assessment (DASH: Disability of arm, shoulder and hand and TAM: Total activemotion) was evaluated. Results: All 56 fractures were united completely. None of the cases experienced pin loosening or reduction loss. Of the fractures, 8. 9% malunited due to fracture complexity. The mean dash score was 3. 76. TAM was excellent in 45% of the fractures; it was good in7% and fair in 4%. Conclusions: This type of HANDMADE external fixator is simple, lightweight, and cheap. Furthermore, all implements are readilyavailable in most operating fields. The probability of loosening has been greatly diminished because of the concrete like structure. Easy and fast assembly and good clinical and functional results are the other advantages of this technique. Due to the less complicationand benefits, this technique could be used for many phalangeal and metacarpal fractures with confidence.