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.