Aim: To determine the relationship of different parameters to the method of treatment and type of fractures. Methodology: 50 patients with fractures of the shafts of both the radius and ulna treated at the Vardhman Institute of Medical Sciences, Pawapuri, Nalanda, Bihar, India. Data collection and radiographic measurements were standardized for all patients. All patients were followed at least until bone union occurred or the diagnosis of nonunion was made. These methods of treatment were utilized: open reduction and internal fixation (ORIF), closed reduction with square nailing. End result ratings were made on a 14 point scale in four categories: (a) subjective, according the level of pain in the injured limb; (b) objective, by the range of forearm rotation; (c) radiographic, utilizing the criteria of union, synostosis and malunion.