Background: Treatment of distal tibial fracture can be complicated by contusion, infections, delayed union and non-union; all these may lead to revision surgeries. Distal tibial fracture needs a stable fixation while minimizing damage to the soft tissues by the surgical dissection and implants. The optimal method of fixation remains debatable. Traditional methods like ORIF have been associated with infections, devitalization of soft tissues and hence have poor results. Aim: The aim of our study is to compare the functional and radiological outcome of the distal tibial fractures treated by Expert tibia nailing and tibial plating. Methods: This study was carried out in Rajendra Institute of Medical Sciences, Ranchi. This is a prospective study, period from November 2021 to October 2022. Patient was randomized using lottery method in both the group by an independent observer. Patients fulfilling the inclusion criteria are randomly selected and operated, 30 with locking compression plate and 30 with expert tibia nailing. Results: In ETN, the mean Ankle Score (mean± s.d.) of patients was 85.3333± 6.8145. In Plating, the mean Ankle Score (mean± s.d.) of patients was 85.5000± 5.9234. Distribution of mean Ankle Score with Mx Plan was not statistically significant (p=0.9198). Conclusions: Thus, based on the finding from our study we can conclude that both expert tibia nail and plating offer no significant advantage over each other in term of fracture union, delayed union, malunion, non-union, deep infection. But in term of lesser operating time, blood loss and lesser superficial infection Expert tibia nail offers slight more advantage over plating.