Fractures of distal 1/3rd of tibia have become very common due to increase in road traffic accidents. Various methods of treatment are in practice with varying results and complications. Aim of this study was to evaluate the results of inter locking nailing and plating as treatment methods for closed fracture distal one third tibia and to compare the advantages and disadvantages of inter locking nailing(ILN) versus plating in these two groups of patients. 24 adult patients with closed fracture of distal one third tibia with- out intra articular extension were included in this study. They were divided in to two groups of 12 each. One group was subjected to ILN and the other group to plating procedure. Open reduction was done in 9 patients and 3 were fixed by minimally invasive percutaneous plate osteosynthesis (MIPPO) technique. The follow up period ranged from 6 weeks to 1 yr. Johner and Wruch’s criteria was used for evaluation and comparison. Results were excellent in 66.6% and 41.6%, Good in 25% and 33.3%, fair in 8.3% and 16.6% of ILN and plating groups respectively and 8.3% showed poor results in plating group. This study concludes that closed ILN was an appropriate method when compared to plating as it showed optimal results and less complications in management of fracture distal one third of tibia.
