The reversed Barton fracture of the distal radius is rare. In the literature there is a rate of 3 to 20.5% of all distal radius fractures. Whereas the reposition is simple, the reduction is difficult. This retrospective report about the treatment by osteosynthesis in the years between 1977 to 1987 in the "Berufsgenossenschaftliche Unfallklinik" Tübingen demonstrates a direct correlation between radiological and functional results. That means in consequence that internal fixation by using a small palmar T-plate is the favorable therapy.