Interlocking nails are bone implants inserted into the medullary canal to stabilize fractures remotely. They share loading with surrounding bone and act as internal splints. Early versions were simple metal pins, but modern locked nails provide stability through proximal and distal screws. Nail design factors like diameter, length, and screw placement influence stability. Reaming increases stability but also disrupts blood supply, so unreamed nails are preferred for severe injuries. Specialized nails are used for specific fractures. Coatings can further enhance healing and reduce complications.