Distal tibial metaphyseal fracture are unique.we have studied 40 pt in sir j.j.hospital group of the hospitals from periods MAY 2009 and APRIL 2011 .The study prospective and comparative for the methods used for management of this fracture. The best option for surgical treatment of distal metaphyseal fractures of tibia is still unclear. The purpose of this study was, first, to confirm whether closed reduction and intramedullary nailing produces better results than open reduction and internal fixation with precontoured locked plate and screws and, second, to establish indications for each modality. The overall results were comparable and most patients were satisfied with the results. These results indicate that both modalities of treatment deserve a place in treating distal metaphyseal fractures of tibia.