Radial neck (metaphysis) fractures in children are relatively common injuries in age group 6-11 years . These injuries are serious with frequent sequelae when the tilt exceeds 60 degrees. Conservative treatment is often inadequate when tilt is more than 30 degree such in o`brien type 2 and 3 and judget type 3 and 4. in such cases and open reduction may produce iatrogenic complications. Displaced radial neck fractures in the paediatric population can be treated with retrograde intramedullary nailing of the radius (the Me`taizeau technique). This method allows early post-operative movement and thus has high functional outcome without iatrogenic injury as this is close reduction technique. Methods: This is a prospective study in which follow-up of 20 cases with radial neck fracture treated with Me`taizeau technique was done. Clinical and radiological evaluation was done at immediate next post operative ,2 weeks, 4 weeks, 6 weeks and 12 weeks months,6 months . Active range of motion of flexion and extension at elbow and forearm rotation was noted at 6 weeks along with pain score and Mayo Elbow Performance Score (MEPS). Radiological assessment was also done at 6 weeks regarding union. Results: 18 out of 20 cases had radiological union at 6 weeks. All 20 had radiological union at 10 weeks. Excellent result was obtained in all cases. Range of flexion-extension, supination and pronation was excellent. Conclusions: Metaizeau technique for radial neck fracture fixation is close procedure, simple, safe, soft tissue sparing, minimally invasive technique giving excellent functional and cosmetic results with minimal complication.