Background- Distal Tibia Fractures make an overall fewer part, 10 percentage of total lower limb fractures and 7% of all Tibia bone Fractures. The management of these fractures is challenging and its location near the ankle makes the management by IM IL nail or locking compression is very complicated. IM IL nail is an accepted treatment for distal tibia and tibial shaft fractures. Another widely accepted method is the LCP that has gained a lot of traction. Plates and intra-medullary nails are both effective methods, but also have their own complications. We projected that randomized selection and management of meta-diaphyseal fractures of distal tibia which was extra articular would evaluate the success of IM IL nail versus LCP treatment and improve patient care and evaluate the functional outcome. Materials and Methods: The present study was conducted between 1st November 2019 to 31st October 2021 in a tertiary care hospital. All patient with distal tibia fracture getting admitted in orthopaedics ward and fulfilling the inclusion criteria. We calculated sample size by using epi info software referencing the study by Balakrishna Pinnaka et al.(2018). the required sample size was 15 in each group and total 30 cases of distal tibial fracture. Convenient Sampling Technique was used, in the light of the ongoing pandemic, as it suited our study. Patients participated in the study once inclusion criteria was met. Results: There was statistical difference between IM nail and LCP in terms of time of union, radiation exposure and ankle range of movements with IM nail having superior results than LCP.