Background: Fractures of the distal end of radius are the most frequently occurring upper extremity skeletal injuries managed by orthopaedic surgeons. Despite continuous refinement in treatment modalities, there is no consensus regarding the same, however, the ideal technique for surgical management is still a point of debate. We did analysis to compare the results of three treatments methods-volar locking plate (VLP), external fixation (EF), Kirschner wire (K-wire), Closed reduction and plaster cast application:in patients with distal radius fractures, and compared the clinical, functional, and radiological results. Methods: 20 patients with distal radius fractures who underwent fixation with VLP, K-wire, EF and cast application were included in the study. All fractures were classified according to the Müller’s Arbeitsgemeinschaft für Osteosynthesefragen (AO) and Frykman's classifications. Routine radiographs were taken at the postoperative,3 weeks, 6 weeks, 3 months and 6 months. Radial height, Radial inclination, volar tilt, Dorsiflexion,Volar flexion, ulnar deviation, radial deviation, and ulnar variance were assessed on the follow-up visits and additionally at the follow-up for the study. The patient-based Disabilities of the Arm, Shoulder and Hand (DASH) score system and visual analogue score ( VAS) were used to evaluate functional outcomes, grip strength was accessed, Radiological and functional outcomes between of these above mentioned modalities were compared and statistically analyzed.Results: The average age at the time of surgery was 47.58 years (range = 21 to 72 years).Of a total of 20 patients,15,were operated with VLP, 5 were with K-wire 4.With EF, 7 with cast application.Satisfactory reduction was achieved in all fractures, DASH, VAS and MAYO scores were almost similar in all groups. Regarding radiographic parameters, there was no significant difference in Radial height, Radial inclination, volar tilt, Dorsiflexion,Volar flexion, Ulnar deviation, radial deviation-between the treatment modality groups. When evaluated based on fracture geometry, the DASH score was significantly higher in the patients with AO23A type fracture compared to the patients with AO23B and AO23C type fractures. As for MAYO score, all AO23 groups had similar outcomes.Conclusion:Treatment options VLP, EF, K-wire, cast application provide adequate fixation, satisfactory radiological, and functional results for the management of distal radius fractures of various severities. The optimal treatment approach depends on individual features, and the choice for an internal fixation or closed reduction method for the restoration of wrist function should be evaluated thoroughly by the operating surgeon considering the patient-related variations.