Fixation of Distal third tibial diaphysis fractures poses unique challenges in terms of selection of appropriate implants and reduction of the fracture. Distal tibial diaphyseal fractures associated with fibular fractures produce valgus malalignment at the fracture site. Fibular plating has been classically recommended before tibial fixation citing improved alignment of the fracture along with maintenance of length, ensuring proper reduction of the tibial fracture. However, it is not exempt from complications of surgical procedure and recent literatures have equally favoured tibial fixations without fibular plating in such distal third diaphyseal fractures. So, we have tried to compare the outcome of tibia fixation with or without fibular plating in distal third diaphyseal fractures. This is a randomized controlled trial involving 66 cases treated with (group A) or without (group B) fibular fixations. Tibial fixation was done with distal tibial metaphyseal locking plate or intramedullary interlocking nail system. Patients were followed up at 6 weeks, 12 weeks and 6 months. Clinical and radiological union was assessed at 6 months follow up, and Johner and Wruhs score was calculated. 11 patients were lost to follow up. In both groups, there was no excellent or poor result. Group A had good results in 22 out of 26 patients (84.6%) and 4 had fair results (15.3%). Group B had good results in 20 out of 29 patients (68.9%) and fair in 9 out of 29 patients (31%). There was no significant difference in tibial malalignment (valgus angulation) between the two groups.