The “wrist” consists of eight carpal bones and the distal radius. The wrist is one of the most common sites for osteoporotic fractures. Wrist fractures can easily occur in the elderly when the hand subconsciously supports the ground during a fall. Wrist fractures are classified according to the fracture displacement: extension fractures, flexion fractures, and articular surface fracture subluxation. The extension fracture is also called colles fracture, flexion fracture is also called smith fracture, and wrist joint surface fracture with dislocation is also called Barton fracture, which is a more serious fracture caused by greater violence. Treatment: For extension and flexion fractures, they can be treated with plaster or splint fixation after manual repositioning, but the plaster or splint needs to be fixed for 4-6 weeks. Currently, internal fixation techniques and materials are developing rapidly, so if you want anatomical repositioning and early movement, you can consider surgical treatment for better results. For fractures involving the articular surface with dislocation then surgical incision and internal fixation treatment is required. Severe comminution may require bone grafting. In conclusion, for distal radius fractures (colles, smith) that do not involve the articular surface, the fracture can be treated by external fixation, but there are disadvantages such as unsatisfactory fracture reduction, future fracture deformity healing, and long fixation time. If you want to remove the external fixation earlier and have early activity, you can choose surgical incision and internal fixation treatment, but surgery has the problems of surgery-related risks, incision and internal fixation. For treatment of Barton fractures involving the articular surface, incisional internal fixation is preferred, and for fractures with severe comminution, a repositioning external fixator can be considered.