Obviously, the blood supply is injured with any nail insertion, but because of its unique square design, significant cross-sectional areas are left open to permit rapid reestablishment of the intramedullary circulation.

As for using the Brooker nalis for fractures of distal 1/3 of the tibia, 2 fins prevent rotation while providing optimal fracture stabiliaation. Additionally, the nail provides strong 2 fins for distal fixation, and the danger of radiational damage is decreased due to less O.R. time.

13 of 20 cases were followed up more than 1 year. The time for radiological union was average 16 weeks without rotational deformity or nonunion.

Of the patients with 20 cases, one had a proximal screw breakage ; one, mild knee joint pain ; and one, distal fin protrusion.