Marson BA, Ng JWG, Craxford S, et al. - This research was undertaken to assess the results of surgical and non-surgical management of ‘off-ended’ fractures in children with at least two years of potential growth remaining. Between 1 November 2015 and 1 January 2020, a total of 34 boys and 22 girls aged 0 to ten with a closed, completely displaced metaphyseal distal radial fracture were included. They examined case notes and radiographs to analyze outcomes. The data exhibited that without exposing the child to the risks of surgery, nonoperative management of completely displaced distal radial fractures in appropriately selected cases results in excellent outcomes. This research implies that nonoperative management of these injuries is a viable and potentially underused strategy.