Background: Distal tibial metaphysis is defined by constructing a square, with sides of length defined by widest portion of tibial plafond. Various surgical modalities used for these fractures include closed intramedullary nailing, plating by open or closed methods, and various types of external fixators. The purpose of this prospective study was to compare the two primary modalities of treatment for these fractures: namely, distal tibial locking compression plate by Minimally Invasive Percutaneous Plate Osteosynthesis (MIPPO) and closed intramedullary interlocking nailing (IMIL), and to know the efficacy of these techniques in the management of closed fractures of distal tibia