Vol. 11, Issue 3 (2025)

Distal radius fractures are among the most frequent upper limb injuries, particularly affecting individuals in both younger, trauma-prone populations and older adults with osteoporosis. Restoration of anatomical alignment is critical to ensure optimal wrist function and prevent long-term complications. This prospective study evaluates the clinical and functional outcomes of 60 patients with intra-articular distal radius fractures treated surgically with volar locking compression plates (LCPs) at a tertiary care center. The study analyzes fracture classification, surgical methodology, radiographic alignment, complication rates, and functional recovery using the Gartland and Werley scoring system. Results demonstrated that 90% of patients achieved excellent to good outcomes, with significant restoration in wrist range of motion, grip strength, and radiological parameters such as radial length, inclination, and volar tilt. Complication rates were minimal, with a low incidence of arthritis, malunion, and complex regional pain syndrome. These findings underscore the biomechanical superiority of LCPs, their role in enabling early mobilization, and the importance of meticulous surgical technique. This study supports LCPs as an effective treatment modality for managing complex intra-articular distal radius fractures.