Abstract: An intramedullary lockable compression screw for stabilization and reconstruction of deformities of the ankle and subtalar joints, and which is particularly suitable for stabilization and fusion of the tibiotalar, talocalcaneal, tibiocalcaneal and/or tibiotalocalcaneal, is provided. The compression screw includes an elongated tubular member extending along a substantially straight first longitudinal axis between the leading end and the trailing end of the member. The tubular member includes a threaded leading end portion proximate the leading end, a threaded trailing end portion proximate to the trailing end, and an unthreaded shaft portion interconnecting the threaded leading end and the threaded trailing end portions. The diameter of the threaded leading end portion is smaller than the diameter of the threaded trailing end portion.

Abstract: To set a fractured bone using an intramedullary nail having a hole for a proximal locking screw, the surgeon reams a primary cavity extending from a proximal area, across a fractured area, and into a distal area of the fractured bone, to a first diameter. An expanded cavity is also reamed in the proximal area of the fractured bone. The reamed primary and expanded cavities are aligned. The intramedullary nail is inserted so as to extend from the expanded cavity to a distal end of the primary cavity. With the intramedullary nail inserted, a bone fragment in the proximal area of the fractured bone, which covers the hole, is removed. The proximal locking screw is inserted through the uncovered hole and into the proximal area of the fractured bone without the use of a jig. The removed bone fragment is then succored back onto to the proximal area of the fractured bone from which it was removed, after insertion of the screw.

Abstract: An intramedullary nail for insertion into a cavity formed in a fractured bone, such as a fractured femur, is provided. The nail includes proximal and distal portions, and a cylindrically shaped, tubular shaft portion disposed between the proximal and distal portions. The proximal portion of the nail has a cylindrically shaped, tubular body with a curved longitudinal axis extending between its first and second opposed ends, and an end plate attached to the cylindrically shaped, tubular body at the first end. The cylindrically shaped, tubular shaft portion of the nail extends between the second end of the proximal portion of the nail and the distal portion of the nail.