Introduction: The objective of this study was to evaluate radiographic and functional results after trans-styloid associated with intrafocal pinning of distal radius fractureMaterials and Method: This retrospective study was about patient’s records operated from February 2016 to April 2018 for posterior displaced distal radius fracture using trans-styloid and intrafocal pinning. Patient were cared of in Orthopedic Unit of CHP Aneho.Check up for functional evaluation was done at six months after surgery. Castaing Radiological and functional scorings were used successively after surgery and at check up at six months.Thirty patients with thirty-one broken wrist were recorded, 18 men and 12 women. We found 19 extraarticular and 12 partial articular posterior displaced distal radius fractures. Complications were searched.Results: We obtained very good results in 19%, good in 55%, medium (26%) with Castaing radiologic scoring. At check up at six months, functional results were medium to very good in 77% using Castaing functional scoring.Discussion: Distal radius pinning is still used in adult’s traumatology. Trans-styloid pinning assured better stability until fusion at 06 weeks. Using of fluoroscopy can help for better reduction in articular fractures.Conclusion: Trans-styloid with intrafocal pinning of distal radius fracture assured medium to very good results. Trans-styloid pinning must be orderly in this type of surgery.