Background: Distal radius fractures are among the most common fractures in the elderly, often resulting from low-energy falls. Intra-articular involvement poses additional challenges due to comminution, osteoporosis, and the risk of post-traumatic arthritis. Volar locking plate (VLP) fixation has gained popularity for its biomechanical stability and ability to facilitate early mobilization. This study aimed to evaluate the functional and radiological outcomes of VLP fixation in intra-articular distal radius fractures in elderly patients. Materials and Methods: A prospective study was conducted on 60 elderly patients (≥60 years) with AO type C distal radius fractures treated with VLP fixation. Inclusion criteria were closed fractures, surgery within 7 days of injury, and minimum 6-month follow-up. Functional outcome was assessed using the Disabilities of the Arm, Shoulder and Hand (DASH) score and the Modified Mayo Wrist Score (MMWS) at 6 and 12 months. Radiological assessment included radial height, radial inclination, and volar tilt measured on standard posteroanterior and lateral radiographs. Statistical analysis was performed using paired t-tests, with p < 0.05 considered significant. Results: The mean age was 68.2 ± 5.9 years, with a female predominance (65%). At 12 months, the mean DASH score improved from 58.4 ± 6.8 at baseline to 14.7 ± 4.2 (p < 0.001). The mean MMWS increased from 48.5 ± 8.6 to 87.3 ± 6.1 (p < 0.001). Radiologically, radial height improved from 5.2 ± 1.3 mm preoperatively to 11.1 ± 0.9 mm postoperatively, radial inclination from 12.4° ± 2.6° to 21.8° ± 1.5°, and volar tilt from −6.5° ± 3.2° to 7.2° ± 1.1° (p < 0.001 for all). Complications included transient median nerve symptoms in 3 patients (5%) and superficial wound infection in 2 patients (3.3%), both resolving with conservative management. Conclusion: Volar locking plate fixation in elderly patients with intra-articular distal radius fractures provides excellent functional recovery and restoration of anatomical alignment, with a low complication rate. Early mobilization and stable fixation make it a favorable option in this age group.