Objective To determine the results of “biologic fixation” with minimally invasive percutaneous plate osteosynthesis technique (MIPO) using anatomic fracture plate in the treatment of distal tibia fracture.  Methods We retrospectively analyzed 19 cases of distal tibia fracture treated during August 2004 and December 2006

including 15 cases of close fracture

14 open fracture and 16 accompanied with fibular fracture.  Results All patients obtained bone union in average 5.7 months. During average follow-up of 12 months (range 〖JP3〗6-23 months)

no plate failures or loss of fixation/reduction occurred.  Conclusion These results show MIPO using anatomic fracture plate in managing distal tibia fracture can decrease soft tissue problems in fracture healing.