Background: Oblique spiral fractures of the distal third of the fibula are commonly encountered in any orthopedics practice. Controversy persists over various fixation methods, and their corresponding risks and benefits. Posterior antiglide plates have been introduced as a method of fixation for the distal part of the fibula. Objectives: The present study was targeting at the evaluation of radiographic and functional outcome after antiglide plating of distal fibular fracture in osteoportic patient. Functional results were assessed with Weber score system. Patients and Methods: A prospective study was on 15 patients with distal fibula fracture treated with ORIF. Results: Posterior plating report increased biomechanical strength, less lateral skin irritation, infrequent need for hardware removal, and ability to use bicortical fixation in the distal fragment. Conclusion: There was an insufficient evidence to support either posterior or lateral fibular plating as a gold standard. Choice of approach and surgical technique should be individually based on fracture pattern, patient characteristics and surgeon experience.