A study was conducted on 25 cases of tibial fractures (between April 2021 to April 2022) in which RCT tibial nail introducer was used as a nail-positioner-cum-nail-introducer (Group 1) to treat the tibial fractures. The results of this study was retrospectively compared with 25 cases of tibial fractures treated by Dr Thakur Innovative Technique of Suprapatellar Nailing of Tibia (between March 2020 to March 2021) in which infrapatellar-tibial-nail-extractor was used as nail-positioner-cum-introducer (Group 2). It was found that the surgical time and fluoroscopy time was slightly less in Group 1 compared to Group 2. But the nail could be kept in proper position by deroation while hammering was more easily and accurately done in Group 1 compared to Group 2. In both groups, the fixation was done by Dr Thakur Innovative Technique of Suprapatellar Nailing of Tibia and locking was done by free hand technique both proximally as well as distally.