A thirty-two-year-old man presents with his wife for a self-referred second opinion. The husband had sustained a fracture of both bones of the forearm two months previously and had undergone surgery at another hospital, but he still has residual pain and deformity. Radiographs (Figs. 1-A through 2) show an impending malunion. Given his age, lack of complete healing, and deformity, revision surgery is recommended. His wife asks if the original surgery was performed incorrectly.