Difficulty in removal of the distal locking device of the Brooker-Wills tibial nail.

: Complications in removal of the Brooker-Wills tibial nail were encountered in eight patients, and breakage of the distal fins occurred in four of these patients. Although none of the patients experienced residual effects related to removal of the tibial nail, the procedure is associated with potential risks such as infection or nonunion. Three methods of nail removal are described.