Experiences of Gil R. Ortega, MD, MPH and Cody Pehrson, MD in Journal of Orthopedic Trauma (JoT) s. This article reviews the unique use of these implants in a collegiate athlete with bilateral, symptomatic tibial shaft stress fractures that failed conservative management, and a patient who suffered an initial, open tibial shaft, and pilon fracture who was surgically treated initially, which then became a nonunion.