The recent introduction of the locking compression plate (LCP) enables a new and unique combination of angular stable locking head screws with conventional screws in the same implant. The availability of this new plate has lead to a virtual „revolution“ in the treatment of unstable distal radius fractures. Here, we present a new concept of palmar plating of dorsally dislocated distal radius fractures with the angular stable 3.5 mm LCP oblique T-plate. The stable fixation of the distal metaphyseal fragment by locking head screws allows for an early functional rehabilitation without the necessity of auxiliary cast immobilization. Advantages of this concept include the improved wrist function and range of motion and the decreased risk for soft tissue complications, such as the „complex regional pain syndrome type I“ (CRPS I). Furthermore, the angular stability of the LCP eliminates the necessity of additional bone grafting of the dorsal comminution zone, thus preventing additional co-morbidity due to autologous cancellous bone grafting from the iliac crest. In addition, the lack of compression of the periosteum and the increased tear-out resistance of the LCP—particularly in osteoporotic bone—leads to a reduced incidence of adverse events, such as non-union or secondary loss of reduction. These significant advantages support the notion of palmar plating with LCP representing an ideal new concept for treatment of unstable distal radius fractures which may replace conventional strategies as a new standard in the near future, such as external fixation or dorsal plating with autologous bone grafting.