323COMPARISON OF REAMED AND UNREAMED INTRAMEDULLARY INTERLOCKING NAILING IN THE MANAGEMENT OF TIBIAL SHAFT FRACTURESAmong the various modalities of treatment such as conservative gentle manipulation and use of short leg or long leg cast, open reduction and internal fixation with plates and screws, intra medullary fixation (including Ender pins, intramedullary nails, and interlocking intramedullary nails (with reaming or without reaming), and External fixation techniques, the surgeon should be capable of using all these techniques and must weigh advantages and disadvantages of each one and adopt the best possible treatment. This study was a prospective randomized study conducted at Mediciti Institute of Medical Sciences, Ghanpur, between November 2011 to 2013. A total of 30 patients with fractures of the tibial shaft were managed with intramedullary interlocking nailing. Every alternate patient was treated with either reamed or unreamed interlocking nail. Intramedullary inter locking nailing is the proven choice of treatment for adult tibial shaft fractures, despite the fact that controversy exists regarding the choice of reamed or unreamed intramedullary nailing. There are no clear indications or contraindications for choosing either option. Time to union was shorter in the reamed group as compared to the unreamed group which was not statistically significant. (p>0.05) Range of knee motion was almost similar in both reamed & unreamed groups. Range of ankle motion was almost similar in both reamed & unreamed groups. Patient satisfaction was almost similar in both reamed & unreamed groups.vpraman04@gmail.comResearch592015Long leg cast, Open reduction,Internal fixationV.P. Raman,Ravikanth Reddy KProfessor of Orthopedics, Malla Reddy Institute of Medical Sciences, Hyderabad, Telangana, India, Post Graduate Resident, Department of Orthopedics, MediCiti Institute of Medical Sciences, Hyderabad, Telangana, India.