الفهرس 
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Abstract
The distal third tibia fractures are those fractures that involve the distal 4 -11centimeters of the tibia (1). It represents about 0.7 % of all fractures and about 7.9% of all tibia fractures(2). The optimal treatment remains controversial, despite the various recommended treatment options for these injuries, including non-operative treatment, plate fixation or intra-medullary nailing(5) .
This study aims to compare the results of CRIF of distal third tibial shaft fractures using the minimally invasive plate osteosynthesis technique versus the locking intramedullary nailing.
The purpose of this comparative randomized clinical trial was to document the radiological and functional outcome of different types of distal third tibial shaft fractures.
46 patients were the sum of this study and were divided into two groups:
- group 1: patients who underwent fixation with the distal tibial locked plate.
- group 2: patients who underwent fixation with locked intramedullary nail.
These patients were followed up for a minimum of 6 months. Patients were 31 men and 15 women with an average age of (18 – 75) years. All patients were evaluated for functional and radiographic outcomes.
ILN group may be associated with mal-union and knee pain but with low rate risk of delayed union, wound healing or superficial infection. ILN may be useful: first, the fracture configuration should be considered. The distal fragment should have enough bone volume to receive and hold at least two screws for avoiding malalignment and mal-union. Suitable IM nailing length and careful treatment of soft tissue may be useful for minimizing the incidence of knee pain. ILN may be