Segmental tibial fractures are uncommon and double segmental fractures/ trifocal fractures are rarelyseen{1}. Literature search revealed that only fifteen cases reported  closed double segmental tibial fracture treated with expert nailing. Nail remains effective treatment modality of such fractures. Moreover, we discussed the possible mechanisms which can lead to such an injury. We also discussed the management of segmental tibial fracture and the difficulties encountered with them. This case was managed by modern osteosynthesis technique with a pleasing outcome.