Background: Tibial plateau is one of the most critical load bearing areas in the human body. Fractures of tibial plateau affects knee alignment, stability and motion. Incidence of proximal tibia fractures is increasing due to increasing incidence of road traffic accidents. The present study was conducted to assess management of proximal tibial fractures by locking compression plate. Materials & Methods: 60 proximal tibial fractures of both genders were treated with MIPO and ORIF. Parameters such as side, type of fracture, type of reduction, principal, etc. were recorded. Results: Out of 60 patients, males were 35 and females were 25. Side was left in 30 and right in 40 cases. Type of fracture was pure cleavage in 25, cleavage with depression in 15, central depression in 5, medial condyle fracture in 7, bicondylar fracture in 4 and metaphysio diaphyseal dissociation in 4 patients. Method of reduction was MIPO in 41 and ORIF in 19 cases. Principle of reduction was compression in 35, bridging in 20 and combined in 5 cases. The difference was significant (P< 0.05). Common complications were infection in 3, varus deformity in 1, knee instability in 2 and knee joint stiffness in 2 cases. The difference was significant (P< 0.05). Conclusion: Using locking compression plate in conjunction with open reduction and internal fixation is a superior method for treating proximal tibia fractures.