Background: The proximal radius is made up of the radial head and the neck. Fractures of the radial head are frequent and are typically the result of a fall onto an outstretched hand. The average age of affected patients is 45 years. The incidence rate has been reported as 2.5 per 10,000 individuals annually Objective: To compare mean DASH score in dorsal versus volar approach for proximal radial shaft fracture fixation. To compare frequency of post-operative complications in dorsal versus volar approach for proximal radial shaft fracture fixation. Methodology: This randomized controlled trial was carried out in the orthopedic department of Bolan Medical Complex Hospital in Quetta from January 2, 2023, to January 31, 2024. Patients who presented at the outpatient department with closed fractures and Gustilo Grade I open fractures of the proximal half of the radius, with or without accompanying ulna fractures, were randomly assigned to two groups using block randomization generated by computer software. One block was designated as group A, while the other was designated as group B. Patients in group A received treatment via the volar approach, whereas those in group B were treated using the dorsal approach. The researcher personally assessed the patients for complications on the 7th post-operative day, and functional outcomes were recorded at 6 weeks. Results: Wound infections were observed in 13.4% of patients in Group A and 16.0% of patients in Group B, (p=0.583). Posterior interosseous nerve palsy was identified in 10.1% of patients in Group A and 9.2% of patients in Group B, (p=0.826). The average DASH score at 6 weeks for Group A and Group B was 61.18±11.32 and 60.93±10.92, respectively, (p=0.861). Conclusion: The surgical methods volar (Henry) and dorsal (Thompson) exhibited comparable results regarding functional outcomes, intra-operative metrics, and complications. While instances of PIN palsy were noted in both groups, the variation in occurrences was not statistically significant.