Background: Periarticular fractures of the tibia are complex injuries frequently complicated by soft tissue compromise. Traditional open reduction and internal fixation (ORIF) carries risks of infection and wound complications, prompting interest in less invasive techniques. Objective: To evaluate the efficacy, clinical outcomes, and technical evolution of hybrid external fixation for managing tibial periarticular fractures. Methods and Methods: An evidence-based review was conducted of prospective studies, systematic reviews, and recent innovations involving hybrid fixation techniques. Results: Hybrid external fixation provides excellent fracture stability, high union rates, reduced soft tissue complications, and facilitates early joint mobilization. Advances such as modular systems, coated pins, and computer-assisted correction have enhanced outcomes. Conclusion: Hybrid external fixation is a reliable, minimally invasive method for managing complex periarticular tibial fractures, offering biological advantages and excellent functional recovery when appropriately applied.