There are multiple modalities described in literature to fix medial malleolus but no clear guidelines are there for choosing the type of implant in various fracture patterns. Hence we came up with the use of low profile precontoured locking plate for all types of fracture patterns for better fixation, reduction, early mobilisation and weight bearing. A prospective longitudinal study on 30 patients followed up for 6 months to study functional and clinical outcomes of medial malleolus plating in treatment of malleolar fractures by using FADI and AOFAS scores for 2 years at Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi.