Abstract: Objective: To evaluate the effect of surgical treatment on distal radius fractures. Methods: Sixty-seven patients with distal radius fractures were subjected to surgical treatment, including fixation with a plate in 33 patients, with a K-wire in 14 patients, with external fixation in 12 patients and with external fixation combined with a K-wire in 8 patients. The final anatomical results were scored based on Sarmiento′s criteria, and the functional results were valuated based on the criteria of Fernandez. Results: All the cases were followed up for an average of 10 months (8 to 12 months). Based on Sarmiento′s criteria, the results were excellent in 31 cases， good in 28 cases，fair in 5 cases， and poor in 3 cases． The good-excellent rate was 88%. Based on Fernandez criteria， the results were excellent in 28 cases， good in 29 cases， fair in 7 cases， and poor in 3 cases． The goodexcellent rate was 85%. All the fractures healed in 2 to 6 months (averaging 3 months). Conclusion: A suitable surgical method for the un-expectant treatment patients is effective.

Key words: Distal radius, fractures, Surgical procedures, operative