Background: A Pilon fracture is a distal tibial metaphyseal fracture that involves the ankle joint. The present study was conducted to assess clinical and functional outcome of anterolateral tibial plating in the management of tibial Pilon fractures. Materials & Methods: 20 cases of tibial Pilon fracture treated with anterolateral distal tibia locking compression plate were studied. Fibular fixation approach used was(posterolateral/lateral) and type of implant used was intramedullary/extramedullary. Results: Out of 20 patients, males were 14 and females were 6. 5 patients (25%) had fall as the mode of injury and the remaining 15 patients (75%) had road side accident as the mode of injury. Severity of injury was trivial in 2, mild velocity in 8 and high velocity in 10 patients. Right side was involved in 11 and left in 9 patients. 16 patients had no and 4 patients had other long bones involvement. In 4 patients, head injury was present. Only 4 patients (20%) had bone grafting along with anterolateral tibial locking compression plating and no bone graft was placed in 16 patients (80%). The difference was significant (P< 0.05). The mean interval between injury and definitive surgery was 12.4 days, duration of surgery was 83.2 minutes and the mean overall Kaikkonen ankle score was 74.50. 13 patients (65%) were categorized as type 1 fracture and 7 patients (35%) were type 2 according to Gustillo Anderson grading. Conclusion: The use of 3.5 mm anterolateral plate in the management of distal tibia fractures has been found to be a safe and effective implant with good clinical and functional outcome especially in cases where the medial skin is specifically bruised.