Background: The more proximal metaphysis and distal diaphysis are two examples of distal tibia fractures. The treatment of distal metaphysealtibial fractures with IM nailing is an effective alternative for the treatment of distal metaphysealtibial fractures. Aims and objectives: The present study was conducted to assess the outcome of reamed intramedullary interlocking nailing in type I and type II open fractures of the shaft of the tibia. Materials and Methods: The present randomised interventional study was conducted on 72 Gustilo and Anderson Type I and Type II open fractures of both genders. Parameters such as aetiology, union time, average duration of time interval between injury and intramedullary nailing, average range of motion, functional results according to the criteria of the Klemm and Borner scoring system, and complications were recorded. Results: Out of 72 patients, 42 were males and 30 were females. Aetiology was RTA in 48, fall in 15 and violence in 9 cases. The difference was significant (P < 0.05). Union time (weeks) was 19.4 weeks, the average duration of the time interval between injury and intramedullary nailing was 4 days, and the and the average range of motion was 134.2 degrees. Functional outcome was excellent in 60, good in 8, and fair in 4. Complications such as delayed union were seen in 2, non-union in 1, and infection in 1 case. Conclusion: When reamed intramedullary interlocking nailing is used to repair open tibial fractures type I and type II, the anatomical functional outcome ranges from excellent to good, and the procedure is both safe and effective.