Background: The management of plateau fractures of the tibia with minimally invasive percutaneous plating osteosynthesis has been a revelation. It has avoided many complications such as a large surgical scar, disruption of musculo osseous vascularity. It has significantly enhanced the preservation of soft tissues circulation and biologic fixation mechanism. The management of these fractures patterns can be done with indirect manipulation and effective reduction techniques. Methods: The details of the patients were recorded soon after the admission process, after documentation of history and examining them clinically. The fracture patterns were classified as per Schatzger, radiologically. Two approaches were followed:-anterolateral and anteromedial for all the patients. The follow up was done in 6-8 weeks intervals. The period of study was from March 2018 to March 2020 which included 38 patients of the age group from 20-75 years. Results: Out of 38 patients, the maximum number of patients were of the age group from 20-50 years (68%). Schatzger__ampersandsignrsquo;s type 4 and 5 constituted the maximum number of fracture types, as per classification associated with high velocity injuries.1patient had joint stiffness,2 patients had wound infection and the equal number of patients had varus deformity.26 patients showed excellent results, good results in 6 cases and fair and poor results were obtained in 3 cases each. Conclusion: MIPPO technique for fractures of the proximal tibia had a very good outcome in terms of healing and also facilitated strong bone union due to the advantage of biological preservation of fracture site and less tissue damage.