The preferred treatment of simple fractures of the ulna is compression plating (with or without lag screw) leading to absolute stability and direct bone healing.
The preferred treatment of bifocal fractures of the radius is compression plating (with or without lag screw) leading to anatomical restoration of length and radial curvature, rotational alignment, and absolute stability. The blood supply of the intermediate fragment must be meticulously preserved throughout.
In certain circumstances, compression plating of the radius may not be achievable and other management options should be considered.
Some segmental fractures cannot be treated by compression plating for technical reasons and occasionally, bridge plating of the radius is indicated; in such circumstances, the blood supply of the intermediate fragment must be meticulously preserved.
Anatomical reduction cannot be achieved in fragmentary segmental fractures, but maintaining relative stability using bridge plating is widely accepted. Either conventional, or locked (if available), plates can be used as long as the principles of minimizing stripping, and restoring both length and alignment are respected.