Objectives: To compare the cast index and three-point index measurements obtained using computed tomography (CT) with those acquired using conventional methods for treating distal radius fractures Design: A retrospective cohort study Setting: Level 1 trauma center Patients: One hundred and thirteen (45 men and 68 women) patients with distal radius fractures Interventions: Patients with distal radius fractures were retrospectively analyzed and received either conservative cast treatment or surgical intervention through open reduction and internal fixation between 2016 and 2022.

Main outcome measurements: The study evaluated the cast index and three-point index in the cast-treated group and their effectiveness using the Sarmiento index. Furthermore, radial height, volar tilt, and radial inclination were compared between the surgically treated and cast-treated groups.

Inclusion Criteria:

• Patients aged ≥18 years
• Diagnosed with distal radius fracture
• Treated with either cast or volar plate osteosynthesis were included in the study.

Exclusion Criteria:

• Patients with multiple fractures in the same upper extremity
• Those treated with dorsal plates or external fixators
• Individuals with open fractures
• Patients with known systemic or rheumatologic diseases
• Those with cervical disk problems
• Individuals lacking post-cast removal CT data
• Patients with incomplete medical records were excluded.

patients diagnosed with distal radius fractures.