Aims and objective: To study the functional outcome and duration of union of metaphyseodiaphyseal fractures of tibia treated with Multidirectional Interlocking Intramedullary Nailing (ETN: Expert Tibia Nail) and Locking Compression Plating and achieve Restoration of axis, length, and rotation of the lower leg ;Sufficient primary stability of the osteosynthesis for early functional aftercare to maintain joint mobility