Introduction: Distal tibia metaphyseal fractures can be managed with open reduction and plate fixation. Fracture fixation with intramedullary nails was developed in an effort to limit these potential operative complications. The use of intramedullary nails obviates the need for extensive surgical dissection, spares the extraosseous blood supply, and allows the device to function in a load-sharing manner. Aims and objectives: To compare complications in distal tibial locking plating vs inter lock nailing in management of distal tibia shaft fracture. Materials and method: 30 patients were divided into two groups of 15 patients each, Group A (interlock nailing) and Group B (distal tibial locking plating). Fractures were classified according to AO classification system. Post-operative X-ray was done, static exercises were advised on the second day. The patient was allowed progressive walking with walker on 5th day of operation. Regular follow up of the patient in OPD done with X-rays. The early and late postoperative complications were noted for patients in both the groups.All the data was tabulated and subjected to appropriate statistical analysis. Results: Among group A in early complications 1 (6.66%) patient had fever and 1 (6.66%) patients had superficial infection and none patient suffered with skin necrosis. Similarly in group B, 1 (6.66%) patient had fever and 3 (26.66%) patients had superficial infection and 2 (13.33%) patients had developed skin necrosis. In Late postoperative complications, among group A, majority patients developed anterior knee pain and angulation (33.33% each). Among group B, 5 (33.33%) patients developed deep infection, 2 (13.33%) patients were reported with angulation. Conclusion: Interlock nailing showed less complication when compared to open plating procedures in this study.