A 20 year old man suffered a closed, oblique fracture of his right tibial diaphysis at the junction of the middle and distal third with an associated fibula fracture whilst playing football (Figure 1). His tibia was stabilised with an antegrade, reamed, intramedullary nail and proximal and distal bolts, on a planned trauma list. The position on intraoperative fluoroscopy and postoperative radiographs show an appropriate reduction and position of the nail (Figure 2). Immediate weight bearing as pain allows was commenced post-operatively