الفهرس 
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Abstract
Distal tibial fractures are the most common long bone fractures. An incidence of 17 per 100 000 person-years, although more recent data indicate that the incidence may be declining. In most cases, they are due to a force directed from the foot towards the leg in high energy traumatic events, as fall down, traffic accident, motorcycle accident or sport injury.Common classifications of distal tibial fractures include distal extra-articular tibial fractures which are located between 4 and 12 cm from the tibial plafond (AO 42A1 and 43A1). These fractures differ from pilon fractures (intra articular distal tibial fractures) also in terms of the mechanism of injury, management, and prognosis of the displaced bones.The locked plates and intramedullary (IM) nails are two viable methods of fixing these fractures, each possesses distinct disadvantages. With intramedullary nailing, the bolts or screws that are inserted across the nail may break, malalignment of the bone may occur, and there is an increased risk of anterior knee pain. While tibial plating using a ‘locking’ plate can achieve accurate reduction, the need for greater soft tissue dissection increases the risk of infection, wound breakdown, and damage to the surrounding structures.