Material and Methods: From May 2016 to MAY 2017,120 patients with distal radius fractures,60 patients treated operatively with volar plates(ORIF),56 patients treated with close reduction and casting for 6 weeks, all patients were followed up at 6 months, and 1 years post injury. We reviewed rdiologic and clinical outcomes as well as treatment costs and then compared the two groups using (DASH) and MAYO scores.

Result: After 1 year observation with DASH and MAYO scores the functional outcomes did not differ (p<.0.06),but radiologic outcomes were all superior in ORIF group: radial inclination (5.7 vs 14.2) volar tilt(7.3 vs14.2) radial shortening (1.2 vs 5.3).There was difference in main treatment costs ORIF group (9513.25) vs (550.23) in nonoperative group.

Conclusion: ORIF with volar plates showed superiority in radiological outcomes over close reduction and cast immobilization but no difference in functional outcomes between the two groups. There fore we suggest that close reduction and casting is initially recommended because it is safer and has lower treatment costs.