Tehran University of Medical Sciences Journal of Orthopedic and Spine Trauma 2538-2330 3 4 2018 09 14 82 82 Amir Reza Farhoud Orthopedics Department, Joint Reconstruction Research Center, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran AND Bushehr University of Medical Sciences, Bushehr, Iran Mohammad Javad Dehghani Firoozabadi Orthopedics Department, Joint Reconstruction Research Center, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Furqan Mohammed Yaseen Khan Orthopedics Department, Joint Reconstruction Research Center, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran Hamed Nouroozi Bushehr University of Medical Sciences, Bushehr, Iran Ehsan Ghadimi Orthopedics Department, Joint Reconstruction Research Center, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran 2019 07 18 Tibia is one of the most common fractured long bone, which occurs most often in young people following high-energy trauma. Gold standard treatment of tibial diaphysis fractures is currently intramedullary nailing. In this study, we intend to examine the results of treatment of tibia diaphysis fractures with intramedullary interlocking nail without use of imaging (C-Arm) during surgery. In this cross-sectional study, 43 patients (36 males and 7 females with an average age of 31 years) were included, 40% were open fractures and 60% were closed. Just postoperatively, 12% of the cases had a problem with length and placement of nail and screws. A total of 18% had rotational deformity (78% less than 5 degrees) and 5% had only mild varus or apex anterior deformity. In cases where imaging during surgery is not possible for any reason, the use of intramedullary nailing along with distal jig could be performed for tibial shaft fractures. https://jost.tums.ac.ir/index.php/jost/article/view/82 https://jost.tums.ac.ir/index.php/jost/article/download/82/82