Objective: Showing the result of fixation of fracture shaft tibia in adults by intramedullary interlocking nail tibia
Design : Prospective study
Setting: Orthopedic & trauma surgery department,Sohage university, Egypt
Subjects : Thirty patients with fracture shaft tibia simple & compound fracture type 1&2 Gustilo-Anderson Classification
Intervention : Surgical protocol of fixation of fracture shaft tibia in adults by intramedullary interlocking nail tibia
Main Outcome measures : Regarding union , alignment &functional results using Olerud functional scoring system .
Results : According to Olerud functional scoring system 17 patients had excellent overall functional results, 10 had good results, 2 had fair results only one patient had poor result on account of her old age and poor health condition
Conclusion : Intramedullary nailing is the best option . Solid core nails are associated with the lowest rate of infection.Intramedullary nailing is the current most popular form of surgical treatment.It has many advantages include:Indicated in cases of segmental and comminuted fractures shaft tibia,saving fracture hematoma,early weight baring,minimal incision,less blood loss.

