Introduction: Distal tibia metaphyseal fractures can be managed with open reduction and plate fixation. This approach often necessitates extensive soft tissue dissection and devitalisation, creating an environment, less favorable for fracture healing and more prone to infection and postoperative ankle stiffness.As a result other methods such as intramedullary nailing, percutaneous plating have become the standard treatment for distal tibia fractures. Aims and objectives: To compare the treatment result of intramedullary nailing and locking plating in terms of rate of healing and functional outcomes in patients with distal tibia shaft fracture. Materials and method: This was a prospective study conducted on 30 patients were divided into two groups of 15 patients each, Group A (interlock nailing) and Group B (distal tibial locking plating). Fractures were classified according to AO classification system. Post-operative X-ray was done, static exercises were advised on the second day. The patient was allowed progressive walking with walker on 5th day of operation.Regular follow up of the patient in OPD done with X-rays and functional outcome evaluated after 3 weeks, 6 weeks, 12 weeks and 24 weeks as per Ankle Hindfoot Scoring System (AOFAS Score) was done. Results: The mean age in group A was 45 years whereas in group B mean age was 49 years. Among group A, 3(20%) patients were female and 12(80%) patients were found to be male. Similarly in group B, 3(20%) patients were female and 12 (80%) patients were male.Among group A, 2 (13.33%) patients had AOFAS score between 70 to 79, 5 (13.33%) patients had score 80 to 89 and 8 (53.34%) patients had score between 90 to 99. Among group B, 11 (73.33%) patients had AOFAS score 70 to 79, 3 (20%) patients had score 80 to 89 and 1 (6.67%) patient had 90 to 99. Conclusion: In the present study interlock nailing showed favorable outcome and hence it was concluded that interlock nailing is optimal method for treating distal 1/3 rd fractures of tibia as compared to distal tibial locking plating.