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A series of 132 patients with 139 tibial shaft fractures treated with intramedullary nailing is presented. Nailing was performed either primarily or secondarily and reaming was performed in most cases. A rigid fixation was secured in most patients. At followup of 124 patients the results were good or fair in 96% (107 had good results, 12 had fair results). Only one patient had a lasting poor result, while 4 patients had uneventful healing and ultimately good result after renailing.
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