Distal radius fractures are among the most common fractures treated by orthopedic surgeons. Numerous techniques have been devised to address these fractures and the factors associated with these injuries. The T-Pin (Union Surgical, LLC, Philadelphia, PA) is a novel instrumentation designed to use standard percutaneous techniques in the treatment of extra-articular distal radius fractures. The T-Pin allows for early active range of motion, as well as earlier return to functional activities. This article discusses the instrumentation, the techniques of insertion and extraction, and postoperative care.