Special Technical ArticlesInterosseus Wiring of Distal Radius Fractures With Volar ComminutionGithens, Thomas DO; Murphree, Jacob MD; Daneshfar, Cy MS; MacKay, Brendan MD Author Information Department of Orthopaedic Surgery and Rehabilitation, Texas Tech University, Lubbock, TX The authors declare that they have nothing to disclose. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Thomas Githens, DO, at [email protected] or by mail at Texas Tech Department of Orthopaedics, TTUHSC Mail Stop 9436, 3601 4th Street, Lubbock, TX 79430. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Techniques in Orthopaedics 34(1):p 46-49, March 2019. | DOI: 10.1097/BTO.0000000000000291 Buy Metrics Abstract Interosseous wiring is a technique that has been used for decades to help achieve interfragmentary compression and subsequent osteosynthesis in a number of fracture patterns. Comminuted distal radius fractures with larger volar fragments present challenges for reconstruction and reestablishment of length, rotation, and alignment of the metadiaphyseal region. In many instances, the use of bridge plating in these fracture patterns is difficult as the fragments are prone to displacement. Utilizing interosseous wiring in distal radius fractures with larger volar fragments provides an extraordinarily useful technique, allowing for anatomic reduction and restoration of the articular block. This stabilizing aid provides an ideal reduction for proper placement of a volar locked plate. This study describes the technique of interosseous wiring in a 75-year-old female patient with distal radius and ulnar fractures with subsequent volar locked plate placement. This technique provides an efficient and cost-effective tool to improve anatomic reduction, interfragmentary compression, and proper plate placement in distal radius fractures of this morphology. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.