QU I C K C O M P R ES S T E CH N I Q U E
(OP TI O N A L )
If a surgeon would like to bypass external manual compression, the following steps may replace Steps
13-16 described above. Depending upon the choice of tibial screw placement, this alternate technique
also allows for additional dynamization even after full recovery of the Compressive Element.
NOTE: While the Compressive Element will provide post-operative compression, applying manual
compression helps ensure the joints are tightly compressed intra-operatively so that the Compressive
Element does not recover until resorption occurs post-surgery. Therefore, it is recommended that this
alternate technique only be adopted when the joints appear visually compressed intra-operatively.
Indications include if a surgeon wants to avoid the lateral plantar neurovascular bundle, reduce the
risk of a stress riser at the screw when drilling in the tibia, or wishes to drill only one tibial screw
hole instead of two. Patients with large bony defects who might receive a bulk allograft, or are
immunocompromised with poor bone healing capacity might not be suitable for this technique.
NOTE: Though not using the Manual Compression feature, the Compression Wheel must still be
“zeroed” in order to properly load the Nail Implant.
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