Background: Distal radius fractures are very common injuries and represent about one sixth of all fractures seen in the emergency department. The aim was to compare the results of management of comminuted distal radius fractures using polyaxial versus uniaxial volar locking plate. Methods: Forty two patients were included in the study. At the time of calculating the statistical analysis and the results only 32 patients had fulfilled the follow up requirements and were included. On admission, all patients were assessed by: history taking, clinical examination and appropriate radiological assessment. Results: According to VAS score has no statistical significant while MAYO and Quick-DASH score show statistical significance at 6 months, and the differences were too small to be of clinical relevance. Radiological results according comparison between of postoperative & end follow up results were also better with polyaxial.The final clinical results were not related to fracture type. There was a positive correlation between hand dominance and the final score. The final clinical outcome was related to age & smoking habit, but not related to sex or occupation. Conclusion: Treatment of comminuted distal radius fractures with a volar variable angle plate fixation is safe and effective. Using these plates is associated with excellent and good functional outcome with significant reduction of hardware complication.