Generally distal interlocks should be inserted prior to the proximal interlocks; - this allows the leg to be rotated in the most advantageous position for interlock insertion and allows more efficient compression across the fix site (by gently tapping the proximal nail assembly proximally); - use free hand technique beginning w/ steinman pin; - achieve perfect circle w/o rotating distal fragment.

A Kirschner wire (also called a K-wire) is a thin, rigid wire that can be used to stabilize bone fragments. These wires can be drilled through the bone to hold the fragments in place. They are placed percutaneously (through the skin), thus avoiding an operation in some cases.

• Steinman Pin
• Kirschner Wire
• Schanz Screw