Abstract : The available operative treatment for proximal tibia fractures are plate internal fixation, intra medullary nailing and external fixators for open tibia fractures. To improve the applicability of an intramedullary nailing system particularly to metaphyseal fractures, the Expert Tibia Nail is designed as an adaptation of an original prototype previously shown to have high biomechanical stability when compared with conventional nails and different plate osteosynthesis techniques. A prospective comparative cohort study was carried out in tertiary care hospital. First group 33 patients with proximal tibia fracture operated with Expert tibia nail. In second group 33 patients with proximal tibia fracture operated with Minimally invasive percutaneous plate osteosynthesis technique. There was no significant difference in two groups as far as union time, pain at 6 months, range of motion at 6 months, muscle atrophy at 6 months and alignment at 6 months are concerned. There was significant difference in two groups as far as operative time, length of incision, Modified KLEMM and Borner scores, satisfaction to procedure, alignment and union time. Expert tibia nail is a better treatment modality for management of upper 1/3rd tibial fractures.