Background: The frequently fractured long bone in the human anatomy is tibia and the mode of surgical procedure relays on evaluating the mode of injury, configuration of fracture and individual health and financial status. The use of non-operative treatment of tibial fractures is associated with a high prevalence of malunion, joint rigidity and deprived functional consequence. Tibial shaft fractures are recurrently treated by intramedullary interlocking nails. The necessity of opting reamed intramedullary nail is considered the gold standard implant for tibial fractures in closed and open (Gustilos) fractures.