Tibial fractures, consist of approximately 15% of all adult fractures are frequently caused by direct or indirect traumas due to less of cutaneous and subcutaneous tis sues which are anterior of tibial shaft. Epidemiologic studies show that compound fractures are 23.5% of all tibial shaft fractures. In treatment of compound tibial fractures,rate of encountering complications like infection, delayed union, or nonunion is high because of weak perfusion and high density of cortical bone material [1–4]. Especially GustilloAnderson type 3 open tibial fractures are caused by high energy traumas and are frequently accompanied by serious complications like amputation, infection, nonunion, malunion, and soft tissue losses. Use of new generation antibiotics, adequate irrigation and debridement, and new methods on fixation techniques has reduced these complications.