OBJECTIVE To explore the treatment outcomes of plate internal and external fixations for distal forearm fractures in children. METHODS From July 2010 to September 2013, a total of 89 children were operated for distal forearm ulnar and radial fractures, including plate fixation (n=46) and external fixation (n=43). Two groups were evaluated in terms of operative duration, bleeding volume, length of incision, hospitalization length, fracture healing time, postoperative complications and Berton evaluation criteria. RESULTS As compared with internal fixation group, external fixation group fare better in operative duration, bleeding volume, operation incision length, fracture healing time and postoperative complications with significant differences (P<0.05). And the hospitalization time had no significant difference (P>0.05). CONCLUSION Treating distal forearm fractures with external fixation offers the advantages of simpler handling, lesser injury and better postoperative functional recovery in children.