Choice of a specific internal fixation device depends on the location, type, and configuration of the fracture.

In trochanteric or subtrochanteric fractures, the surgeon may use a hip pin or nail, with or without a screw plate. A pin or plate with extra nails stabilizes the fracture by impacting the bone ends at the fracture site.

In an uncomplicated fracture of the femoral shaft, the surgeon may use an intramedullary rod. This device permits early ambulation with partial weight.

Another choice for fixation of a long-bone fracture is a screw plate, shown here on the tibia.

In an arm fracture, the surgeon may fix the involved bones with a plate, rod, or nail. Most radial and ulnar fractures may be fixed with plates, whereas humeral fractures commonly are fixed with rods.