Aim: To manage a proximal tibia fracture with a locking compression plate. Material and methods: The total number of cases studied were 70 with the youngest 18 years and oldest 67 years. The intention of this dissertation was to study treatment of proximal tibial fracturewithlockingcompressionplatetoobtainastable, pain free, mobile joint, to prevent the development of osteoarthritis.Inclusion criteria for current study were; adults (18 years and above), closed fracture and type 1 compoundfracture. Exclusion criteria for current study were; type II and III compound fracture and patients with comorbidities. Results: Postoperative care protocols were uniform across both groups, with mobilization starting 48 hours post-surgery. The initial range of motion (ROM) was restricted to 0-20 degrees for the first 2-3 days, and by the 5th day, ROM was increased to 90 degrees. Full ROM was allowed after suture removal. External splinting was provided as needed, and continuous passive motion (CPM) exercises were performed daily. This standardized approach to postoperative care and mobilization facilitated early recovery and minimized complications.Radiological healing times averaged 12 weeks for the MIPO group and 14 weeks for the ORIF group, with an overall mean of 13 weeks. The study observed 4 cases of infection (1 in MIPO and 3 in ORIF), 2 cases of loss of reduction (all in ORIF), and 7 other complications (2 in MIPO and 5 in ORIF). The higher incidence of complications in the ORIF group suggests that this technique may carry a slightly higher risk profile compared to MIPO. However, both techniques showed effective fracture healing within a similar timeframe, highlighting their efficacy in treating proximal tibial fractures. Conclusion: The study demonstrated that both MIPO and ORIF techniques are effective in treating proximal tibial fractures, with comparable demographic and fracture classifications. Postoperative care and mobilization protocols were standardized across all patients, facilitating early recovery. Weight-bearing and follow-up schedules ensured consistent monitoring and early detection of complications.