Elastic intramedullary nails for children are intended for fractures of lower limbs in children and small patients, and fractures of upper limbs in all patients. These nails can also be used in bones with a narrow medullary canal. Elastic nails do not disturb bone growth in children.V. SURGICAL TECHNIQUEIV.1. NAIL BENDINGMatch the nail shape to the shape of medullary canal with the help of handle [40.6381] and wire bending massive pliers with conical holder with mallet [40.3198.000]. The bent tip should be at the level of fracture. Handle has specific bending radii in which particular nails should be bent depending of the nail diameter.IV.2. PUNCTURING THE CORTICAL LAYERIt is possible to puncture the first cortical layer either with drills 5.0 and 3.2 or with awls 5.0 and 3.2. The use of protective guide 5.0 is recommended for both methods in order to prevent any dam-age to soft tissue and to prevent too deep puncture (as the devices can puncture the bone up to the depth of 22 mm). The opening and nail entry point should be at least from 10 to 30 mm away from the joint part of long bones.IV.2.1. Opening of cortical layer with a drillDrill 5.0 [40.6384] should be used for opening preparation in cor-tical layer for nails with diameter of 3.0, 3.5, 4.0, while for nails with smaller diameters drill 3.2 [40.6385] should be used.