Irecently attended a combined meeting of the Japanese
Society for Surgery of the Hand (JSSH) and the
American Society for Surgery of the Hand (ASSH) in
Honolulu. Many of the papers and ‘‘hands-on’’ workshops
were about the management of fractures of the distal radius
in adults. The major emphasis in these presentations was
on the technical aspects of open reduction and internal fix￾ation of these fractures. One presenter polled the audience
to determine their personal preferences for the manage￾ment of several complex fractures of the distal radius that
he presented. The great majority of the audience indicated
that their preference was for some form of open reduction
and internal fixation of these fractures. Only a few partic￾ipants (most had grey hair) favored less invasive and less
aggressive methods of treatment