The goal of this clinical trial is to compare the Minimally Invasive Plate Osteosynthesis (MIPO) approach with conventional methods in volar locking plate treatment for distal end radius fractures under the Wide Awake Local Anesthesia No Tourniquet (WALANT) technique. The main question it aims to answer is: Does the MIPO approach provide better pain control than the conventional approach of volar locking plate fixation in distal radius fractures under WALANT? Participants will be requested to record their pain on the Visual Analog Scale (VAS), assess their functional scores, and undergo postoperative radiographic evaluations. Researchers will compare the MIPO group and the conventional group to determine the postoperative pain VAS scores, shedding light on the comparative effectiveness of the two approaches.

Gap of knowledge

• No comparison of conventional Versus MIPO technique under WALANT
• No result in acute post-operative pain

Inclusion Criteria:

• isolated closed fractures of the distal end radius requiring surgery
• aged 18 years and older

Exclusion Criteria:

• Patients with bone fractures lasting more than 21 days
• open fractures
• articular multi-fragmentary comminuted fractures of the distal radius
• not suitable to undergo volar approach surgery
• individuals with combined carpal fractures or dislocation
• ulna fractures
• associated injuries
• a history of previous wrist surgery
• diabetes mellitus
• chronic wrist inflammation
• wrist bone deformities
• the use of anticoagulation drugs
• uncooperative behavior
• those refusing to participate in the research

The data collector, an orthopedic resident unaware of the surgical technique used, obtained information after operation.