Vol. 11, Issue 3 (2025)

Objective: For studying outcomes of intra-medullary nailing in tibial shaft fractur: Tibial fractures that need intramedullary nailing; follow up of tibial fracture after intramedullary nailing; and complications of intramedullary nailing

Study Design: Prospective study. Place and Duration of Study: Imam AL Hussain Teaching hospital, this study was done in one year from first of March 2023 until first of April 2024.

Patient and Method: Thirty patients of 18-55 years of age, both male and female are included, with tibial shaft fractures (closed type and gustilo type 1 open fractures). all fractures were fixed with intramedullary nailing.

Results: About 86.6% (26 cases) fractures had achieved union within six months while 10% (3 cases) fractures completed their union among seven and nine months which means delayed union and 3.3% (1 case) did not united till 9 months, and this is mean non-union.

Conclusion: One of the best methods for management of tibia shaft fractures (closed type and gustilo type I open fractures) is intra-medullary nailing unless there is contraindications for it.