Introduction: Distal tibial fractures remain a challenge to orthopaedic surgeons. High energy observed as the aetiology in young patients whereas in elderly, a simple fall might result in this distal tibial fracture. The aim of this study to compare the functional outcome of various modalities of management of distal tibia fractures. Materials and Methodology: The present study majorly comprised of 60 distal tibial fracture patients that include both the genders. All were enrolled after obtaining the consent of patients. Ethical clearance was received before the beginning of the study. Demographic data such as name, age, gender etc. was eventually recorded. Patients were divided equally into 3 groups of 20 study participants each. Group I patients were treated with intra-medullary nail, group II patients treated with external fixator and group III patients with MIPO (Minimally Invasive Percutaneous Osteosynthesis). Results: The study sample distribution involved group I had 12 males and 8 females, group II had 13 males and 7 females and group III had 9 males and 11 females. They type of fractures that are involved GA type 1 was seen in 15, 2 in 10, 3A in 9 and no GA type in 26 patients. AO classification A1 was present in 7, A2 in 8, A3 in 20, B1 in 9, C1 in 10, C2 in 4 and C3 in 2 patients