Tibial shaft fractures are one of the commonest long bone fractures encountered by most of the orthopaedic surgeons. Most common mode of injury is road traffic accidents. Young and middle–age people are most commonly affected. The present study was undertaken to observe outcome of 30 patients with tibial shaft fracture operated with intramedullary nailing with or without reaming 15 patients in each group (A&B). Patients were followed up for minimum of 6 months. Functional Results evaluated as per Ketenjian and Shelton Criteria modified by Yokoyama et al.

CONCLUSION: In this study we concluded that in closed tibial shaft fractures Intramedullary nailing was the best treatment method. Results of the study concluded that reamed IM nailing had advantage over unreamed IM nailing in the terms of early weight bearing and early union.