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Ojective: The aim of this study was to compare the results of closed or open reduction and ETN(Expert Tibial Nail) nailing(group A) with closed reduction and minimally invasive plating(group B).Methods: 34 matched cases has been divided into two groups (group A and group B) with regard to age, soft tissue condition, and the AO classification of the fracture and had been treated with either method.Then these patients were followed up and the results were retrospectively analyzed.Results: The group A was follow up for a mean of 24 months versus group B for a mean of 26 months.