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.