Fig. 5

a Plain radiographs showing a metaphyseal comminuted fracture of the distal radius with radial length shortening. b Despite manipulations of the injured wrist under anesthesia, articular congruity was not restored because the radial styloid fragment was not reduced. c Use of the conventional flexor carpi radialis approach by splitting the PQ muscle from its origin to buttress the radial styloid fragment with the plate. d Orthogonal plate fixation of the distal radius through the conventional approach. e Postoperative radiographs showed the restoration of articular congruity and radial length