Open AccessBackground and Objective: Human hand has evolved into an organ of exceptional prehensile function capable of highly complex movements, manipulation and cosmesis is also equally important as far as the hand is concerned. In the present study we evaluated the efficacy of Joshi’s external stabilizing system in fractures and mangled hand. Materials and Methods: The present prospective study involved 25 Patients with hand injuries or fractures and mangled hand after the ethical guidelines of the institution. The cases are selected for study after evaluating the nature of injury and included the cases of fractures and mangled hand. Results: In the present prospective study, we described the results of 25 Patients with hand injuries/ fractures and mangled hand. We observed a 100% recovery from the injuries after the application of JESS as external fixators and distracters and were evaluated by taking the X-rays. Conclusion: The Joshi’s External Stabilisation System frame is ideally suited for the fractures and mangled hand.