Comparing intramedullary nailing and plate fixation for treating distal tibail fractures: A meta-analysis of randomized controlled trials

•The intramedullary nailing and plate fixation were both used in managing fractures of distal tibia.•Intramedullary nailing could provide better outcomes in terms of operative time, radiation time, wound complications compared with plate fixation.•Intramedullary nailing is found to be taken priority for distal tibial metaphyseal fractures.