BACKGROUND^:  In India, Complex trauma cases caused by traffic accidents have increased progressively, because of the increasing number of motor vehicles on the roads. Fracture tibia are among the commonest fractures sustained in road traffic accidents due to subcutaneous nature of tibia. These fractures are often open and contaminated. Controversy still exists as to the appropriate method of stabilization of open fracture of tibia.  The aim of study is prospective study of open fractures of Tibia using undreamed interlocking nail.

MATERIAL AND METHODS: Patients with open fractures of tibia, who are admitted in SMIMER Hospital were taken for study after ibtaiing their consent

RESULTS AND CONCLUSIONS:  Unreamed intramedullary nailing done under image intensifier has proved to be a one time procedure leading to union  in all the cases. It also shows high union rate and low infection rate hence we can conclude that use of undreamed interlock nail in management of open fractures of tibia recommended modality.