Crutches are not recommended for getting down on the ground one day after tibial intramedullary nail removal. Excessive weight bearing should be avoided for one month after tibial intramedullary nail removal. This is because after the removal of the internal fixation of the fracture, the cavity of the bone has not completely healed, and at this time the stability of the bone is relatively poor, during this period of time, if excessive weight bearing or sports, it is easy to lead to a second fracture. After one month, you can walk with the aid of crutches, and after two months, you can walk with moderate weight bearing, but avoid strenuous physical exercise. Three months after the operation, you can start to do proper exercise only when the wound is healed. After surgery, you should actively carry out functional training under the guidance of the doctor to enhance the muscle strength around the joints and promote bone growth.