There are many advantages and reasons for using exposed steel nails in fractures, mainly in the following aspects: First, with exposed steel nails, it is very simple in removing the nails, as long as the conditions of fracture healing allow, and the nails can be removed directly with Kirchner’s forceps. Second, if there is still internal fixation present at this time, it means that with simple internal fixation, there is no way to fix the fracture site very securely and exposed steel nails are needed to assist in fixing the fracture block. Third, leaving the nail in place reduces the soft tissue damage and tension on the skin and facilitates swelling and wound healing. Therefore, it is not that exposed steel nails are not good or should be used more often, but it depends on the specific condition of the fracture, and if the fracture is suitable for exposed steel nails, then it is definitely the most advantageous.