Fracture of proximal one-third of tibia constitute 5-12% of all tibial fractures. Fractures at the proximal tibia are extensions of fracture into the proximal metaphyseal region of the bone. Treatment of this kind of fractures poses a lot of challenges and depend upon the severity of injury. Treatment options include mainly fixation with open plating. This report reflects on the physiotherapy approach and protocol to augment early recovery and restoring the normal functioning. A 51 year old female reported with complaint of pain and difficulty in performing knee movement as well as unable to bear weight on the affected extremity. She presented history of trauma to right leg in bike accident after which is started experiencing pain, swelling and inability to bear weight on her right leg. She was diagnosed with proximal one-third tibial fracture of right leg for which she has undergone open reduction internal fixation with plate osteosynthesis for fractured tibia. Fracture of proximal one-third right tibia. Therapeutic intervention included range of motion exercises, therapeutic modalities, strengthening exercises and gait training. Final outcome was restoration of the normal function resuming daily activities in a smooth manner. Early physiotherapy intervention followed by fracture fixation helped in functional restoration early recovery.