A fracture of the distal radius (just before the wrist joint) is common. Historically, cast treatment was the norm, and stiffness, deformity and pain were viewed as acceptable sequelae of the injury. Nowadays, however, upper extremity surgeons have become much more aggressive in terms of their willingness to recommend surgical intervention. This has evolved for a number of reasons, including higher expectations among patients, newer types of devices (plates and screws), newer and more reliable surgical techniques, and an improved understanding of what matters most with respect to providing a favorable result.
The definition of a good outcome may be different depending on the type of fracture, the age of the patient, and subsequent functional demands. These are all issues that your surgeon will discuss with you. Suffice it to say that a displaced fracture of the distal radius can be fixed better today than any time in history, usually as an outpatient, and usually under a regional anesthesia.
The plate is placed on the volar (palmar) side of the forearm, and generally is not removed. Though some loss of wrist motion is inevitable, excellent restoration of functional motion and grip strength is expected.
