The authors present an account on a group of their first 28 patients/29 nails/treated during a 6-month period from May 1995 by synthesis using Medin nails/14 tibial, 12 femoral and 3 reconstruction nails/. The nails and instruments are briefly described. The main objective of the development of nails was to enable the professional public to obtain the necessary implants from local manufacturers and thus at much lower prices.