Review Question - QID 217885

An otherwise healthy 42-year-old male is referred to your clinic by his primary care provider. The patient reports that while on summer vacation in Europe he fell onto an outstretched hand and sustained a distal radius fracture. The patient was offered surgery, but due to summer vacation plans and difficulty with insurance, he elected for nonoperative management with closed-reduction and casting. It has been two months since his original injury, and this is the first time he has been seen since his injury. He reports diffuse wrist pain and stiffness which hinders his ability to play the drums, which is his source of income. His current radiographs are shown in Figure A, with a lateral of his contralateral wrist shown in Figure B. Which of the following images represents the best surgical treatment for this patient?