Purpose of The Study: Fractures of the distal tibia are challenging to cure. There are several therapy techniques available. The purpose of this study is to evaluate the effectiveness and safety of posterior plating for distal tibial fractures in middle-aged and elderly patients as well as those with anteromedial type 1 and type 2 compound injuries using a posterolateral approach. Study Design and Material: Thirteen distal tibial fracture patients who visited our hospital were chosen for posterior plating using the posterolateral technique. Of them, six had open fractures and seven had closed fractures (Gustillo Anderson type I). Other factors such complications, blood loss, fracture healing time, varus and valgus deformity, and wound healing time were taken into account while evaluating the treatment. Observation and Results: During the 75-minute surgery, 40 ml of blood was lost on average. All thirteen patients had full surgical recoveries. An average of 20 weeks were spent on the union. There was no neurovascular injury, varus or valgus deformity, limb length difference, non-union, malunion, or non-union. Therefore, our research showed that posterior plating applied via the posterolateral route is a secure and reliable method of treating distal tibial fractures.