Background: Distal end radius fractures are common in orthopedic practice, especially in older adults with osteoporosis and younger individuals involved in high-energy trauma. Open reduction and internal fixation (ORIF) using volar buttress plates has become the preferred treatment method to restore anatomical alignment and enable early wrist mobilization.Aim: To evaluate the clinical, functional, and radiological outcomes of ORIF with volar buttress plates in distal end radius fractures and to assess the associated complications.Methods: A prospective study was conducted on 30 patients diagnosed with distal end radius fractures treated with ORIF using volar buttress plates at Al-Ameen Medical College, Vijayapura, from May 2022 to April 2024. Clinical outcomes were assessed using the Gartland and Werley scoring system. Radiological outcomes and complications were recorded.Results: Eighty percent of patients demonstrated significant improvement in wrist function at the 6-month followup, with a complication rate of 20%, predominantly involving tendon irritation. Conclusion: ORIF with volar buttress plates provides superior functional recovery with a manageable complication profile for distal end radius fractures.