Different surgical procedures are used to treat tibial shaft fractures. Interlocking intramedullary nailing has become the industry standard in recent years for treating tibia shaft fractures. For interlocking intramedullary nailing of the tibia, the clinical and radiological prognosis is better, and the problems including compartment syndrome, neurovascular injuries, infection, and non-union are substantially less common. The reduced risk of reoperation is also demonstrated by the usage of ILIM nails. As a load-sharing mechanism that also balances axial and torsional deforming forces, nails are regarded as superior. The fact that closed intramedullary nailing causes the least amount of harm to soft tissue, neurovascular structures, and hematoma at the fracture site are further contributing elements to the better and more natural process of bone healing in the nail instance. Additionally, the nail is secured at the proximal and distal fragments, reducing the likelihood that comminuted fractures will not heal properly. The earliest return to weight bearing and employment for patients who had interlocking nailing is a definite benefit.