Purpose: Proximal phalanx fracture is the most frequently encountered fracture in the hand. It is inherent with complications like malunion and stiffness. Poor functional outcome with the conventional conservative technique has been reported in unstable fractures. Though various surgical method of fixation of phalanx fracture has been described, here we narrate a specific intramedullary technique using two Kirschner wires (K-wires) through safe portals. Materials and methods: A total of 150 proximal phalanx fractures were treated in our hospital within the time period of 2 years (2015–2017). All types of fractures were treated with two percutaneous antegrade intramedullary K-wiring from proximal phalanx base under fluoroscopy ensuring anatomical reduction and avoiding rotation of fragments. On table, full flexion and extension were checked to avoid soft tissue impalement. The K-wires were removed at 3-week postoperative period. Outcomes were analyzed in terms of postreduction radiograph evaluation, mobilization, fracture healing, and function of hand was graded according to Belsky's criteria. Results: Patients were followed for minimal period of 1 year and maximum of 28 months (mean: 36 months). Out of 150 proximal phalanx fractures, 137 (91.3%) had excellent outcome with excellent total active motion (TAM) >250° and pain-free union with proximal interphalangeal (PIP) flexion >100°. Eight (5.3%) had good outcome. Two (1.33%) patients had loosening of K-wire with early removal which resulted in malunion. Three (2%) patients had finger stiffness due to poor compliance. Conclusion: To conclude, this closed intramedullary technique of percutaneous K-wiring is an elegant method of fixation through safe corridor giving best functional outcomes with least complication.