The use of the locked intramedullary nail in the tibia has broadened the indications for reamed tibial nailing. Fractures from just below the tibial tubercle to within 5 cm of the ankle joint are now able to be managed with the reamed interlocking tibial nail. This article is intended as a guide to the technique of closed reamed nailing of the tibia and the use of proximal and distal interlocking bolts.