Volar plate fixation of distal radial fracture. A, Skin incision. B, Incision carried to flexor carpi radialis sheath. C, Flexor pollicis longus muscle belly is partially detached from radius to expose pronator quadratus. D, Freer elevator is used to elevate pronator quadratus from radius. E, Fracture line is exposed. F, Volar plate positioned, insertion of first screw. G, Insertion of second screw after release of distal traction on fingers. H, Remaining proximal screws are placed. I, Pronator quadratus sutured to edge of brachioradialis. SEETECHNIQUE 57.18.