Fractures of the forearm bones and distal radius

Fractures of the radius and ulna should be treated as a single unit rather than separate bony entities due to the intricate relationship of both bones in the forearm. Injuries can be divided into fractures of both bones, fracture of a single bone, and fracture of single bone associated with joint injuries. Distal radius fractures have been dealt with separately, as they are most common. The aim of treatment is to restore anatomy, and achieve stability to allow early mobilization to achieve good function. In diaphyseal fractures of the forearm, restoration of the relative lengths of both bones to maintain the integrity of the joints is vital and often requires operative intervention. In fractures of distal radius restoration of volar tilt, radial inclination and length should be achieved and maintained during healing by appropriate methods. Stable fixation allows early return to function.