["Sandwich" osteosynthesis of the distal radius]

In certain intra-articular fractures or post traumatic sequelae of distal radial fractures, it may be difficult to restore the normal anatomy and support the articular surface using a single surgical approach. A combined palmar and dorsal approach with double plating can be helpful in such cases. The author presents a series of six cases treated with two plates to support the palmar as well as the dorsal cortex. Results were favourable in five cases but one secondary displacement occurred because the metaphyseal defect was not bone grafted.