In distal radius comminuted fracture, it depends on whether the articular surface is involved, the flatness of the articular surface, and the force line of the distal radius. If the force line is normal and the articular surface is flat, surgery is not necessary and conservative treatment can be given with local fixation in a cast. The duration of immobilization is usually 4-6 weeks, during which time the tightness of the cast should be noted, and an X-ray should be taken at the hospital to check the position of the fracture and to prevent displacement and healing of the fracture. If the fracture is severely crushed, the joint surface is uneven, and the force line is not good, surgery is required. Surgery is mainly incision and repositioning, and local plate fixation is given. Generally, if the fixation is firm, there is no need for a cast after surgery. In the early stage, functional exercise can be performed, and afterwards, X-ray examination is also needed to confirm the healing of the fracture.