Aim: To compare the different complications that result from the various treatment modalities in tibial fracture. Materials & methods: Patients were categorized into four groups, each consisting of one hundred patients. Plaster casts were used to treat patients in group 1, plate and screws were used to treat patients in group 2, reamed and unreamed intramedullary nails were used to treat patients in group 3, and unreamed intramedullary nails were used to treat patients in group 4. Results: The rate of delayed union or non-union was 20% among those in group I, 5% among those in group 2, 11% among those in group 3, and 19% among those in group 4. It was determined that there was a significant difference (P< 0.05). The prevalence of malunion in group 1 was 34%, whereas it was only 3% in group 2, 6% in group 3, and 14% in group 4. there was no evidence of a superficial infection in group 1. In group 2, there was a 12% prevalence of infection. In group 3, it was reported to be 5%, but in group 4, it was reported to be 3%. It was determined that there was a significant difference (P< 0.05). the requirement for a second surgery was present in 11% of patients in Group 1, 7% of patients in Group 2, 15% of patients in Group 3, and 26% of patients in Group 4. It was determined that there was a significant difference (P <0.05).Conclusion: Tibial fractures have been treated with a variety of therapeutic techniques throughout the years. There has been no one that has been shown to work. So, the selection of a certain approach is required in order to prevent complications.