ABSTRACT
We treated 50 patients with nonunion of tibial shaft fractures by interlocking intermedullary nailing, 48 by open and two by closed techniques. All fractures were seen for follow up until they healed [average healing time was 22.83 weeks]. Union was achieved in 48 patients, failed in two cases [4%] only. There were 4 cases [8%] with malunion and 3 [6%] with deep infection. Our results of these 50 patients confirms that interlocking intramedullary stabilization is an effective method for achieving union. Relatively low risk technique has a clear advantage of maintaining anatomic and mechanical alignment allowing rapid return to full weight bearing on the extremity, without the need of external immobilization and allowing rapid rehabilitation