Aim & Objectives: To evaluate functional and radiological outcomes in tibia fractures treated by closed reduction with interlocking nail using suprapatellar approach Design: Prospective clinical study Methods: 32 patients with tibia fractures were treat+ed with Suprapatellar nailing from ’;-February 2021 to March 2022 and subsequently evaluated at 1, 3, 4.5, 6, 9 and 12 months post operatively for fracture union, knee ROM, tibial alignment, functional outcome (Lysholm score ) and complications ( pain and infection ). Results: Mean age of patients was 44.62 years. Just one patient reported anterior knee pain at 12 months follow-up out of 32 patients. Mean knee ROM at 12 months was 127.03 degrees in comparison to 128.1 degrees on the opposite side. Lysholm knee mean score at 1 year follow-up was 90.40. Mean time for fracture healing based on RUST score was 5.15 months. Only two cases of complications were noted, one of delayed union and superficial infection, each. There was no case of mal-alignment. Conclusion: Suprapatellar nailing as a treatment modality of tibia fractures treated with closed reduction resulted provided brilliant functional and radiological outcomes.