Background:Distal tibia fractures are challenging injuries. They are often caused by high energy axial compressive, direct bending or low energy rotation forces. These fractures constitute less than 10% of all tibial fractures. The aim of treating the fracture is to preserve normal mechanical axis, ensure joint stability and restore a near full range of motion. This is a difficult task to accomplish in each and every case due to compromised soft tissue condition, variable bone quality and associated medical conditions. Distal tibia fractures are devastating injuries that are usually due to high-energy mechanisms such as falling from heights or motor vehicle accidents. They may also occur from low-energy mechanisms, which are seen in rotational injuries around the ankle. Results of conventional osteosynthesis with plates have been suboptimal with reported complications of wound infection, skin breakdown and delayed union or non-union, requiring secondary surgical intervention. Locking compression plating has gained popularity and is being used frequently for fixation of distal tibia fractures. With the use of minimal invasive techniques excellent results are obtained in complex fractures.