Aim: our aim was to compare functional outcomes in semi-extended lateral parapatellar approach and the hyper flexed patellar tendon splitting approach and to compare range of motion betweenthe two approaches. Methods: A total of 30 patients with extraarticular fractures of tibia presenting to Maharishi Markandeshwar Institute of Medical Sciences and Research (MMIMSR), Mullana-Ambala, were enrolled in the study. All the patients were above the age of 20 years and had closed or open type I or II fracture shaft tibia. Detailed history and physical examination were done. Relevant investigations and x-rays were done. The patients were divided into two groups- Group A- Patients treated with Lateral parapatellar approach and Group B- Patients treated with midline tendon splitting approach, with 15 patients each. Patients were followed up at 3 months and 6 months and post-operative functional scoring using visual analog scale and lysholm knee scoring scale was done to evaluate functional outcome at each visit. Results: the demographic profile of the study subjects was comparable. The mean range of motion of the involved knee was126.00° ± 8.06and 127.67° ± 7.29 for those in group A and 124.67° ± 7.19 and 126.33° ± 5.16 for the patients in group B at 3months and 6 months respectively. . lysholm knee score on follow up at 3months and 6 months was statistically significant in both groups. Visual analog scale score during follow up at 3months and 6months were comparable in both the groups and difference between both groups was statistically insignificant. Conclusion: Our study compared the functional outcome for extraarticular tibial fractures treated with intramedullary nailing through lateral parapatellar approach and midline tendon splitting approach in which a significant advantage of early joint motion, early weight bearing and less knee pain was observed in patients treated with lateral parapatellar approach.