SummaryThe forearm is a unique anatomic unit that in the presence of chronic disorders results in a lack of rotation, impairs strength and stability of the hand, and affects functional motion of the wrist and elbow. Despite outstanding results using open reduction techniques, complications and failures continue to occur and can be divided into problems produced during the perioperative surgical period and complications occurring postoperatively. By addressing injuries in a timely manner, using appropriate surgical techniques and implants, and limiting malposition of the fragments, perioperative problems can be controlled. If other postoperative complications are identified, efforts should be made to reduce the length of the patient’s disability. When anatomic reductions are performed, union rates approaching 98% with excellent outcomes can be expected.