Background: Intramedullary interlocking nailing (IMIL) allows minimally invasive, symmetric, and dynamic fracture fixation by following the principles of biological fracture fixation. This technique is also used widely for distal tibial shaft fractures, with good results6. Presently, there is no clear consensus on optimal method of managing these fractures. Various surgical modalities used for these fractures include closed intramedullary nailing, plating by open or closed methods, and various types of external fixators. AIM: To compare the functional and radiological outcome of surgical modalities for distal tibia fracture, i.e. Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) vs. Intra medullary Interlocking nail (IMIL) with respect to following parameters: Time to full weight bearing, Time to radiological union, Functional outcome and Complications