Concomitant contralateral or ipsilateral upper extremity fractures

Ipsilateral ulna (excluding styloid) fracture

Open fracture

Previous ipsilateral distal radius fracture in the 2 years prior to enrollment with deformity

Unstable distal radioulnar joint after fracture fixation

Fractures where the transverse fracture line is less than 10mm from the distal radius joint surface

Artery or Nerve injury secondary to fracture

History of alcoholism

Currently on chemotherapy or radiation therapy

Currently on worker's compensation

Rheumatoid arthritis or other inflammatory arthropathies.

History of chronic pain issues or psychiatric disorder that precludes reliable follow-up.

Distal Radius Fracture - Treatment Comparison