A series of 27 Galeazzi fractures treated by open reduction and rigid internal fixation have been reviewed. The average followup was 32 months. Twenty-five patients obtained a satisfactory result. One patient developed a pseudarthrosis after a fracture through a screw hole, an unsatisfactory result. A second patient sustained a severe open fracture with considerable soft-tissue damage and this result also rated as unsatisfactory. There were no infections. The authors believe that open reduction and rigid internal fixation of the radial fracture is the treatment of choice for this injury.