Introduction: Distal radius fractures are one of the most common injuries that Orthopaedic surgeons face during their trauma practice. But it remains a dilemma to many surgeons whether to operate on patients with this kind of fracture. Objectives: Our study aimed to evaluate the functional outcome and postoperative complications of fractures of the distal end of the radius in the elderly managed conservatively in a tertiary care centre. Materials and Methods: A prospective study of cases of the distal end of radius fractures meeting the inclusion criteria admitted in Thrissur Government Medical College between 1-01-2018 to 1-06- 2019 was carried out. Fractures were classified according to the Frykman system and closed manipulative reduction attempted. After a minimum follows of 6 months the anatomical and functional outcomes were standardised using Lind storms anatomical and functional scoring system. Results: A series of 55 cases with the distal end of radius fracture were studied comprising of 24 males and 31 females. The largest contribution came from the age group of 60 to 65 years (50%). Slip and fall at home on hand was the commonest cause of injury (62.5%). Type I Frykman made the largest contribution with 22 cases. A total of 6 cases were found to develop complications including joint stiffness, paresthesia and malunion. The excellent anatomical reduction was achieved in 39 cases and good results in 9 cases. Functionally, 33 cases had an excellent outcome and 13 had a good result. Conclusion: This single-centre population series demonstrated good to excellent results in a majority of the patients after closed manipulative reduction of the distal radius, with outcomes and complications compared to other studies in the literature.