Background and Aim: Tibia fractures are the most common lower extremity fractures. The subcutaneous anatomy of this long bone predisposes it to high fracture frequency in a high-energy trauma. The tibia is a major weight-bearing, long tubular bone that is axially and rotationally unstable when fractured, which ideally necessitates its surgical fixation in adults. this study was conducted to analyze the outcome in these fractures treated with interlocking nails Material and Methods: There were totally 40 cases for the study group formed. There were 31 males and 9 females. After initial resuscitation and immobilization, they were taken up for internal fixation. Depending upon their general condition and associated injuries the time interval for surgery varied from one day to two weeks. They were periodically followed at 6 weeks, 3 rd month, 4 th month, 6 th month and every eight weeks thereafter, till fracture union. Results: In this study, it was observed 87.5% (35) excellent (or) good results. 5% (2) showed fair results, 7.5% (3) of poor results. The much dreaded complications like nonunion, nail protrusion into the ankle have not been observed in the study. The poor outcomes were associated with comorbid conditions. 5 patients had varus/valgus deformity ranging 2 to 5 degrees. Four patients had varus/valgus deformity ranging 6 to 10 degrees. Shortening measuring 0.5 cm found in 5 patients and 1cm shortening was noted in 3 patients. All patients had full range of knee mobility. Conclusion: The study shows that interlocking nailing gives good results in distal third tibial fractures. Acceptable alignment and range of motion can be achieved. Fibular fixation needs to be done only in patients with syndesmotic disruption.