Tibial fractures frequently occur with increased traffic accident and industrial accident re-cently.

When open reduction and internal fixation is carried out, there are some problem as follows

1. Limitation of fixative selection. 2. Soft tissue problem. 3. Loss of alignment.

Authors carried out operation using May Anatomical Bone Plate in distal tibial fractures at the Orthopaedic department, Dae Han Hospital from December, 1988. to January, 1990.

The results are as follows ;

1. Partial weight bearing-post op. 6wks.

2. Full weight bearing-post op. 4. 5months.

3. Joint range of motion

Knee-full

Ankle-less than 20% loss(extension, flexion)

Subtalar-less than 20% loss(inversion, eversion)