Intramedullary nailing is currently used for tibial stem fractures, femoral stem fractures, or humeral stem fractures, and the nail can be removed after the fracture has healed by regular radiographs. The entire procedure is usually performed under anesthesia and the surgical area is sterilized with a sterile surgical sheet. After removing three of the four transverse locking nails, the end of the head of the intramedullary nail is removed and the internal fixation device is placed over the head and tightened at the site where the nail was removed. At this time, the fourth cross-locking nail is removed, and then the entire intramedullary nail is driven out with auxiliary instruments. This is the approximate procedure, which is much simpler than the intramedullary nail.