Fractures of distal radius are one of the most common injuries. In spite of this, ideal treatment methods remain without common sights. Prospective-controlled trials for management algorithms are still insufficient to lend objective findings. Incongruity of articular surface is the most probable cause of unsatisfactory outcomes in young and active patients. So, the primary goals of treatment should be restoration of articular congruence and pain free hand and wrist function. Over the past decade new developments in internal and external fixation techniques and devices for the treatment of unstable fractures have improved results. Many surgical fixation methods allow accurate reconstruction of joint surface, associated intercarpal pathology, and allow early rehabilitation protocols for fracture treatment. In this manuscript, frequently used surgical treatment methods of distal radius fractures were discussed according to fixation methods.