It has been well supported in the literature that using compression screws is the preferred method to achieve fixation of an arthrodesis [1, 2]. Indications for isolated subtalar arthrodesis include trauma, arthritis, talocalcaneal coalition, adult acquired flatfoot, posterior tibial tendon dysfunction, and Charcot neuroarthropathy [3, 4]. With the increase in bone screw shapes and designs, there is a desire to achieve the best compression generated by a type of screw so as to promote excellent bone healing and outcome for the patient; this will also allow the stability of the construct achieved by the screw and its placement to be determined. As indicated by Wheeler, et. al. [5] screw choice, compression, stability and loading can be very important when it comes to healing of fractures in small bones.

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