ABSTRACT BACKGROUND: Proximal one-third tibial fractures are very commonly encountered in orthoemergencies.The management options include nailing and plating with each having its own downfalls.Usually very long plates have to be used in such fractures creating therefore soft tissue related problems in future.However,the use of nails in such fractures is often marred with malalignment. MATERIALS AND METHODS: A total number of seven subjects who were managed with intramedullary nailing along with small reduction plates were included in our study.The study was prospective in nature and was carried from MAR’20 to JUN’20. RESULTS: The patients were followed-up for a minimum period of 4 months and outcomes were deduced on the basis of Johner and Wruh’s criteria. CONCLUSION: Intra-medullary nailing of proximal one-third fractures along with small reduction plate can be used for management of these injuries in properly selected cases.However,one has to be very meticulous and vigilant regarding the soft tissue status in such injuries.