Introduction:- The management of distal tibial fractures remains challenging due to subcutaneous location of larger portion of tibia,paucity of soft tissue coverage and precarious blood supply of distal leg.Conservative management may be complicated by loss of reduction and subsequent malunion. MIPO (Minimal invasive plating osteosynthesis) has evolved as a newer concept to treat distal tibial fractures. It works on Biological fixation principle which assists physiological process of bone

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... g wisely with minimal operative intervention. Methods:- Prospective follow up study carried out at J.L.N. Medical College Ajmer from 1 Jan 2017 to 30 June 2018. 30 patients with distal tibial fractures were included and operated with pre-contoured medial locking compression plate using MIPO technique. Fractures were classified as per AO system and patients were followed and scored according to TEENY and WISS scoring criteria. Results:- Functional results according to TEENY and WISS scoring criteria was found excellent in 9 (30%), good in 16(53.33%), Fair in 3(10%) and poor in 2 (6.66%) patients. Poor outcome occurs due to development of complications Conclusion:-Internal fixation of distal tibial fractures with pre-contoured medial locking compression plate using MIPO technique is effective and safe and provides more stable construct with anatomical reduction.