Background: Tibial Plateau fractures occur with a vulnerable ‘soft tissue envelope’, and usually more prone for infection, wound dehiscence, neurovascular injury and compartment syndrome, are more common after high-energy injuries. Aim: This study was conducted to observe the radiological and functional outcome of surgical management in closed Schatzker type V and VI tibial plateau fractures with lateral tibia locking compression plate by Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) reduced by using traction table. Materials and Methods: Twenty-five cases of closed Schatzker type V and VI Tibial plateau fractures were taken up for this prospective study. All cases were operated on traction table using MIPPO technique and fixation done with Lateral tibia locking compression plate within 5 days of injury. Patients were followed upto minimum for two years. The anatomic and functional evaluation was done using the modified Rasmussen clinical and radiological criteria. Results: Out of 25 cases, 22 cases had signs of healing from 6 weeks onwards and radiological union at the end of 6 months. Two cases developed skin blisters due to elevated compartment pressure. One case was showing no radiological union at the end of 6 months. Two cases had superficial infections and required wound debridement out of which, in one case infection resolved and one case had soft tissue compromise required flap cover. Conclusion: MIPPO technique using traction table effectively favors alignment of fragments and restoring the articular congruity and minimizes soft tissue injury and in turn reducing post-operative complications, leading to better functional outcome in Schatzker type V and VI fractures.