Fracture shaft of tibia is the most common fracture of long bone. Axial and compression force is the most common cause for distal tibia fracture. Lower one third tibial fractures accounts for 37.8% of all tibial fractures1. Several methods of treatment are implemented including non-operative treatment, external fixation, intramedullary nailing, and internal fixation with traditional implants (standard screws and plates).2MIPPO technique using distaltibial locking plate is one such method in which percutaneously inserted plate is fixed at a distance proximal and distal to the fracture site through minimal exposure.4,5 So this technique has less iatrogenic soft tissue injury and damage to the vascular bone as well as preserves the osteogenic fracture haematoma which is essential to prevent the potentially severe complications. This study aims to findout functional outcome after distal tibial locking plate using MIPPO technique. Method: 30 cases of lower third tibia fracture treated by MIPPO technique with distal tibial locking plate who came for review at the OPD were included in the study. The maximum period of follow up was 5 months. Patients were followed up every four weeks. At each assessment all patients were questioned with regards to pain, use of analgesics, stiffness, swelling, activities of daily living and use of walking aids and their responses using Mazur scoring system. Result: Majority of the study population scored good in the mazur scoring system, 30% showed fair outcome, 13% excellent and 10% poor outcome. Conclusion: 30 cases of closed distal one third tibial fractures which were treated with distal locking plates using MIPPO technique. The mean union time for fractures fixed by distaltibial locking plate is 20.3 ± 2.8 weeks within a range of 16 – 28 weeks. The Incidence of complications were relatively less and presence of co-morbidities delayed the union. The functional outcome as measured by Mazur score, gave excellent to good results in 60% of the cases.