The invention provides a metacarpal and phalanx avulsion fracture reduction needling guide comprising a right caliper handle and a left caliper handle. The right caliper handle is hinged to the left caliper handle through a hinged shaft, the front end of the right caliper handle is provided with a right caliper head, the front end of the left caliper handle is provided with a left caliper head, the left caliper head corresponds to the right caliper head, the outer end of the right caliper head is provided with a fixed needling guide head, the fixed needling guide head is provided with a needling guide hole, the outer end of the left caliper head is provided with a skin support, the outer end face of the skin support is of a plane structure, and the needling guide hole of the fixed needlingguide head is opposite to the outer end face of the skin support. The metacarpal and phalanx avulsion fracture reduction needling guide is simple in structure, convenient to manufacture and low in cost, can provide an ideal entry point and needling angle for a Kirschner wire (or a hollow nail guide needle), thereby improving the one-time success rate of needling, which improves the accuracy of needling, reduces the number of intraoperative perspectives, and shortens the operation time.