Distal radius fractures are common injuries, accounting for a significant portion of emergency room cases, and affecting both young adults and the geriatric population. High-energy trauma usually causes intraarticular fractures in younger individuals, while older adults often suffer from extra-articular fractures. Treatment aims at anatomic reduction and stable fixation to restore function, with options including closed reduction and casting, percutaneous fixation, external fixation, and open reduction internal fixation (ORIF) via dorsal or volar approaches. The dorsal approach offers advantages like direct visualization of fracture fragments and support against dorsal collapse, making it ideal for complex fractures with dorsal comminution. Comparative studies show similar clinical and radiological outcomes between dorsal and volar plating, though each approach has associated complications. The introduction of low-profile locking plates has decreased tendon irritation associated with dorsal plating, increasing its effectiveness for certain fracture patterns. Although some research suggests a greater likelihood of implant removal with dorsal plating, both methods are effective in restoring wrist function. Further high-quality studies are needed to determine the best surgical approach for various types of distal radius fracture.