Intramedullary stabilisation of long bones is an established treatment opti
on since Kuntscher. Especially for tibial nailing different methodes were p
roposed in the past,were as the use of a fracture table was more or less th
e standard procedure. Since 4 years now we are nailing tibial fractures whi
thout fracture table. We are now using more and more a simple carbon fibre-
frame, easily assembled by parts of the AO external fixator. So we can mini
mize the additional iatrogenic soft tissue damage during surgery and the lo
gistic preoperative set-up in the operation theatre is shorter.