Background: Fractures of the distal radius (DR) in the forearm are frequently encountered in clinical practice. Intra-articular fractures at the distal radius can pose significant challenges when addressed through conventional conservative methods. Various treatment alternatives exist to mitigate the risk of reduction loss in cases of unstable fractures at the distal end of the radius.Hence; the present study was conducted for assessing and comparingresults of distal radius fractures treated with plating or K wire fixation. Materials & methods:The present study was conducted for assessing and comparingresults of distal radius fractures treated with plating or K wire fixation. A total of 40 patients with presence of distal radius fracture were enrolled. Complete demographic and clinical details of all the patients was obtained. All the randomized into two study groups with 20 patients in each group as follows: K-wire group: Patients operated on by closed reduction and percutaneous fixation with K-wires, Plating group: Patients received open reduction and internal fixation with palmar locking palmar plates. Preoperative and postoperative radiographic assessment of all the patients was done. Preoperative DASH score was evaluated. All the patients were followed up for 6 months and were evaluated. All the results were recorded in Microsoft excel sheet and were subjected to statistical analysis using SPSS software. Results:Mean age of the patients of K-wire group and plating group was 49.3 years and 50.7 years respectively. Majority proportion of patients of both the study groups were males. Right side involvement was seen in majority of the cases. At 6 months follow-up, palmar flexion among patients of the K-wire group and plating group was 64.3° and 66.9° respectively.At 6 months follow-up, dorsal flexion among patients of the K-wire group and plating group was 57.1° and 60.8° respectively.At 6 months follow-up, ulnar deviation among patients of the K-wire group and plating group was 38.7° and 38.1° respectively.At 6 months follow-up, radial deviation among patients of the K-wire group and plating group was 26.9° and 25.5° respectively. Non-significant results were obtained while comparing the physical outcome among patients of the two study groups. Also, DASH score at six months follow-up was comparable among the two study groups. Conclusion:The findings of this research indicated that there was no significant difference in the outcomes for patients who received treatment with K-wires versus those who underwent locking plate fixation for distal radial fractures.