To examine the mechanical performance of the Son-icPin in a realistic fracture model 12 fresh frozen tibiae were osteotomized through the medial apex of the pla-fond, simulating a horizontal fracture of the medial malleolus. The tibiae were treated with either the Son-icPin or with 4.0-millimeter partially threaded titanium screws. Mechanical testing was performed by applying a compressive load 17 degrees from the long axis of the tibia to simulate supination-adduction loading.