Dorsal plating for distal radius fractures

Dorsal plating of distal radius fractures is the preferred technique for certain fracture patterns. Historically, dorsal plating has reliably supported the radiocarpal joint, leading to low rates of arthrosis at the expense of wrist stiffness and problems with extensor tendons. New, smaller implants may prove capable of buttressing the joint with a lower incidence of extensor irritation. The authors outline the history of dorsal plating, describing early experiences, advances in implant design and application, and the current state of the art.