An end-result study of thirty-three comminuted fractures of the distal end of the radius treated by skeletal fixation in plaster is presented. The technical details of this relatively simple procedure are illustrated. The end results, both anatomical and functional, were evaluated comparing the injured wrist with the opposite normal wrist. Our end results also were compared with those obtained by two other methods of treating fractures of the distal end of the radius, using the McBride system of disability evaluation. Complications were relatively few and all were completely resolved at the time of follow-up examination. When careful attention is given to the details of the procedure, one can anticipate a good result.