The use of the nail as a splint is desirable in the management of acute nail bed injuries. However, when the nail plate is destroyed and during secondary reconstruction of the nail bed, the nail is not available for use as a splint. Several substitutes, notably silicone sheet have been used, but without much success. The INRO surgical nail, with qualities similar to the nail splint was developed for use as a substitute. During the period of study from 1983 to 1985, 89% of patients had good results.