Orthopaedic Forums

How much residual dorsal tilt do you accept after reducing a distal radius fracture?

In an extra-articular distal radius fracture in a 55–65-year-old active patient, suppose reduction restores length and inclination reasonably well but leaves around 5–10° of dorsal tilt. Would you accept this, woudl attempt reduction again and cast, or consider fixation? How much do age, occupation and dominant hand influence your threshold?