Fig. 2.

a The FCR approach using a longitudinal incision over the FCR tendon. b FCR tendon is retracted ulnarward and the deep fascia is divided. c The flexor compartment musculature is bluntly swept ulnarward. d The pronator quadratus is then incised in an L shape along the watershed line to reveal the metaphyseal fragments. e An approprately sized plate is selected and its size and position checked fluoroscopically. f Metaphyseal fixation is achieved initially and the plate used to lever the distal fragment down to restore volar tilt