[Surgical treatment of fractures of the distal radius--a closed therapy concept. Initial results with the bowl osteosynthesis].

We present our treatment strategy for distal radius fractures, based on intrafocal pinning (Kapandji) and further combination with a palmar plate resulting in bowl osteosynthesis (Nonnenmacher). Even with a changing surgical team, we got more than 80% good results and rapid revalidation. We thus favor dynamic minimal osteosynthesis close to the fracture physiopathology. Indication for external fixation becomes limited to open or comminutive fractures.