Fracture assessment and decision making
These fractures are extraarticular but multifragmentary. They may often be associated with an ulnar styloid fracture.
Because of extensive comminution, fixation should aim to restore length, axis and rotation. The function of the plate is bridging the comminution and promoting secondary healing with callus formation.
As these injuries are often associated with disruption of the DRUJ, before starting the operation, the uninjured side should be tested as a reference for the injured side.