The distal tibial fractures are unique. These fractures are considered as most challenging fractures to treat. The location of the fracture is close to the ankle joint and it is not uncommon for the fracture line to extend into the joint. There are various methods to treat distal tibial fractures like cast, ORIF with plating, intramedullary nail, external fixator. These methods are associated with their complications. We operated 32 patients of distal tibia fractures between May 2010 to October 2012 with MIPPO technique. These fractures were classified according to AO classification. Results of this study were analyzed using American Orthopaedic Foot and Ankle Score which is 94.4 (mean) in this study. There were complications like infection in two cases, plate bending in one and plate irritation in one patient. We didn’t notice non-union or delayed union. We conclude that MIPPO is good treatment choice in distal tibial fractures with very few complications and good fracture union rate.