Objective Explore into interlocking intramedullary nails in the treatment of tibial fracture dry indications and advantages. Methods The writer's hospital were retrospectively analyzed since 2008 in application of interlocking intramedullary nail fixed treatment sixty cases of tibial fractures were treated with dry, including open fractures and cases (Gustilo degrees of 10 cases, 8 cases), closed fracture 42 patients, the Johner - wruh score evaluate its therapeutic effect. Results All the patients were followed up for postoperative, fracture have been healing, no broken nail, no wound infection and osteomyelitis happen not happen fat embolism syndrome bone fascia compartment syndrome ankylosis complications, such as the average healing time, all the cases for 6 months, according to Johner-wruh rating:optimal fifty cases, good in 7 cases, difference in 3, was 95%. Conclusion Pay interlocking intramedullary nails in the treatment of tibial fractures fixed do a simple surgical operation injury small fixed reliable early functional exercise can fracture healing rate less complications advantages, such as a treatment for tibial fractures can be dry ideal fixed mode.