54 yr old male presented with history of being hit by a scooter followed by pain and swelling in proximal part of left leg. There was swelling in knee and a small bone deep wound over the prox-mid 1/3 rd junction left leg. X rays showed type VI proximal tibia bicondylar fracture with a poster medial fragment. The wound was dressed and antibiotics were started. The limb was elevated on a BB frame. After anesthesia workup, the patient was taken to OR. The proximal tibia was exposed laterally using a lazy curve incision. The fracture was reduced using traction and reduction clamps. The reduction was held using K wires and lateral tibia head plate 3.5mm locking was used to fix the fracture. The posteromedial fragment was exposed medially and buttressed using a 1/3^rd tubular plate and screws. Wound was closed in layers and post op limb was supported in slab. The limb was elevated for 3 post op days.