Distal radius fractures (DRF) are one of the most common fractures to be seen in Orthopaedics. The treatment options for them are also multitudinous ranging from closed reduction and percutaneous pinning to open reduction and plating. With the diversity in treatment options, there is also ambiguity about the most effective method of treating these fractures. In this scenario, studies to compare effectiveness of different treatment options is necessary. In this study, closed reduction and percutaneous pinning and ligamentotaxis with external fixation are compared with respect to their outcomes. Methods and methodology: About 66 patients of DRF are prospectively followed up in our tertiary care hospital. After recruiting the patients who met the inclusion and exclusion criteria into the study, based on the indications for closed reduction and percutaneous pinnig and external fixation, patients were divided into CRPCF group and EF group respectively and were treated accordingly. Patients were evaluated at intervals of 2 weeks till 2 months post-operatively clinically and radiologically. Demerit Point System of Gartland and Werley modified by Sarmiento and Lidstorm and Frykman Criteria are used for evaluation of the patients. Results: out of 66 patients, 34 were treated with spanning external fixator (EF) and 32 were treated with closed reduction and percutaneous pinning and cast fixation (CRPCF).When both methods of treatment are compared in the present study, radiologically, loss of radial length was less in EF group. Maintenance of palmar tilt was better in CRPCF group. Over all range of motion was better in those treated with external fixator compared to CRCPF with lesser complication rate. Conclusion: External fixation is better treatment over CRPCF with better functional outcome and lesser chances of complications like CRPS. Spanning external fixator is minimally invasive and better option for comminuted distal radius fractures. Casting can be reserved for low demand patients and for with serious co-morbidities which precludes surgery. Keywords: Distal Radius Fracture, Conservative Fixation, External Fixation.