Abstract: Objective: To investigate the clinical effects of the closed reduction and plaster fixation combined with percutaneous pinning in the treatment of elderly distal radial fractures. Methods: Thirty-six elderly patients with distal radial fractures were treated with the closed reduction and plaster fixation combined with percutaneous pinning. Results: All cases were followed up for 2 to 6 months. All fractures healed. According to Gartland-Werley scoring system, excellent in 20 cases, good in 13 cases and fair in 3 cases were identified, and the excellent and good rate was 91.7%. According to Cooney scoring system, excellent in 19 cases, good in 12 cases and poor in 1 case were identified, and the excellent and good rate was 86.1%. Conclusions: The treatment of elderly distal radial fractures with the closed reduction and plaster fixation combined with percutaneous pinning is effective, little trauma and less cost.