Background- Anterior cruciate ligament (ACL) injuries significantly impact the active lifestyle and sports participation of young individuals, necessitating effective surgical reconstruction techniques. Various methods, including traditional transtibial and newer transportal techniques, have been proposed for ACL reconstruction, aiming to restore knee stability and function. However, comparative assessments of these techniques are limited. Material and Methods: The study was conducted by, involving 60 patients undergoing ACL reconstruction. Patients were divided into two groups based on the surgical technique employed: transportal and transtibial. Functional outcomes were assessed using the Lysholm score and International Knee Documentation Committee (IKDC) score at postoperative intervals. Statistical analysis was performed using SPSS v24.0, with a significance level set at p < 0.05. Results: Both groups exhibited comparable demographic characteristics and preoperative clinical profiles. However, postoperatively, patients in the transportal group demonstrated significantly higher Lysholm and IKDC scores at 1 month and 3 months compared to the transtibial group (p < 0.05). Additionally, a higher proportion of patients in the transportal group reported no difficulty in functional activities postoperatively (p < 0.05). The incidence of complications was similar between the groups (p > 0.05). Notably, excellent functional outcomes were observed in 50% of patients in the transportal group compared to 20% in the transtibial group (p < 0.05). Conclusion: ACL reconstruction using the transportal technique yields superior functional outcomes and patient satisfaction compared to the traditional transtibial approach. The findings underscore the importance of anatomical graft placement and independent tibial tunnel trajectory in optimizing postoperative knee kinematics and functional rehabilitation. Conclusion: IM IL nailing is better in management of distal tibia fractures than LCP Osteosynthesis, in terms of early fracture union rates, early weight bearing, ease of procedure, functional outcome of lower limb and less complication rates.