Headed cannulated screws can be the standard of care in many fracture applications. Acumed has expanded our 6.5 and 7.3 mm cannulated screw offering to include a stand-alone 4.0 mm Cannulated Screw System. The Acumed Cannulated Screw System consists of screws, washers, and instruments designed to provide fixation for fractures, fusions, and osteotomies of large and small bones appropriate for the size of the device. In this lab, Dr. Jeffrey S. Feinblatt highlights his technique for installation of parallel 4.0 mm Cannulated Screws to address a fracture of the medial malleolus.