We had retrospectively analyzed forty -two cases (21 each) of intramedullary interlocking nail versus locking plate by minimal invasive plate osteosynthesis technique. All patients were followed for at least 1 year since the last case operated. Closed distal tibia fractures above 4cm to 10 cm with fibula fractures were included in the study. Fibula fractures within 7cm from tibial plafond are fixed with Kirshner wire. All comminuted, open fractures, intra-articular extensions, isolated fractures of tibia, were excluded from the study. Foot function index, union time, rotational and angular malalignment, rate of infection, secondary interventions and complications were compared between groups.