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This study has been done to evaluate the results and complications of intramedullary interlocking nail for closed diaphyseal fracture of tibia in adults. 50 adult patients of fresh tibial shaft fractures treated surgically between December 2014 to march 2016. Among these 72% males and 28% females and RTA was the common cause of fractures and right side accounts for 60%. Surgery were performed with in 5 days average with interlocking intramedullary nail, trans tendinous approach was used in alldoi:10.22271/ortho.2018.v4.i3i.81 fatcat:zjgiuwfhejfnpa4ocucar5nlhu