We present our treatment strategy for distal radius fractures, based o
n intrafocal pinning (Kapandji) and further combination with a palmar
plate resulting in bowl osteosynthesis (Nonnenmacher). Even with a cha
nging surgical team, we got more than 80% good results and rapid reval
idation. We thus favor dynamic minimal osteosynthesis close to the fra
cture physiopathology. Indication for external fixation becomes limite
d to open or comminutive fractures.