The value of consequent and structured tutorial treatment on the outcome of distal radius fractures was examined within a prospective randomized study. Due to assessment criteria, 198 out of 380 consecutive distal fracture patients could be included in the study and randomly assigned to either an intervention group (focused management) or a control group (transition physician process). Recommendations about character, extent and degree of the exercise treatment conducted were given to therapists, in the intervention group post-treatment recommendations were carried out according to standard practice. In the interventions group there was a low degree of prescribed therapy, however, these therapies were carried out in a more structured way and within a shorter time frame. The outcome revealed that only 12.3% of cases treated within the intervention group, as measured by the reduction of earning capacity, showed a reduction despite apparently shorter periods of work incapacity. In contrast, a reduction of earning capacity was found in 27.4% of the cases treated within the control group despite apparently longer post-treatment periods. Working incapacity time periods and the outcome (reduction of earning capacity) were significantly shorter and better within the intervention group and higher therapy costs were not observed The relevance of structured post-treatment in terms of a combined therapy has therefore been underestimated and supportive control appears to be necessary. Combining both therapies assures higher treatment success in cooperation with all parties involved.