Fracture of tibia are one of the most common long bone fracture in general population now a days due to increasing trend in the high velocity and high energy trauma mechanisms associated with road traffic accidents and other traumatic injuries. They constitute about 17% of all lower limb fractures. Extraarticular proximal-third fractures of Tibia account for 5% to 11% of all tibial shaft fractures Proximal tibia fracture are frequently associated with high energy trauma mechanisms. For diaphyseal factures of tibia intramedullary nailing is considered as the gold standard. standard tibia nailing are done via infra and parapatellar approaches , suprapatellar tibia nailing is the recent advance in the surgical technique for treatment of tibia fracture, as it have better outcome according to previously conducted studies. For tibia nailing can be considered superior to other conventional approaches in terms of lesser post op knee pain, load sharing, preservation of Extraosseous blood supply, very minimal soft tissue dissection thereby reducing the risk of postoperative complications. shorter fluoroscopy time , less vas score, better sagittal plane alignment , lower incidence of angular malalignment , better functional recovery, and improved fracture reduction. with no increased risk of post operative complication. This study aims to assess radiological and functional outcome of suprapatellar nailing in Extra articular proximal third tibial fracture.