Fractures of the hand and distal radius occur when the bones near the wrist are broken. These are relatively common injuries and can occur as a result of trauma, such as a fall that is broken by an outstretched arm. A distal radius fracture may be splinted with the use of a cast after the bones have been straightened. Sometimes, however, if the fracture is severe and the bones are displaced, surgery may be recommended. In this case, I will perform an open reduction procedure, which involves the realignment of the bone fragments before they are held in place with an anatomically contoured plate and screws.