Dynamic nail-plate combination

A method of fixing a bone fracture, comprising:

• inserting an intramedullary nail into a canal of a long bone, the intramedullary nail having a distal circular nail hole and a distal elongated nail hole at a distal end thereof;
• placing an inner surface of a plate against an exterior surface of a bone, the plate defining a distal circular plate hole and a distal elongated plate hole at a distal end of the plate each extending through the plate;
• inserting a first screw into the distal circular nail hole;
• inserting a second screw into the distal elongated nail hole;
• inserting a third screw into the distal circular plate hole and avoiding contact with the intramedullary nail;
• and
• inserting a fourth screw into the distal elongated plate hole and avoiding contact with the intramedullary nail.

A method of fixing a bone fracture, comprising:

• inserting an intramedullary nail into a canal of a long bone, the intramedullary nail having a proximal nail hole, an inner surface of the proximal nail hole having a non-circular shape in a plane perpendicular to an axis along which the proximal nail hole extends;
• inserting a peg into the proximal nail hole, the peg extending along a peg axis, wherein a body of the peg has an outer surface defining a non-circular shape in a plane perpendicular to the peg axis;
• and
• placing an inner surface of a plate against an exterior surface of a bone, the plate defining a proximal plate hole,
• wherein the peg further includes a lateral end adjacent to the body disposed within the proximal plate hole, the lateral end having a reduced cross-section that is smaller than a maximum cross section of the body of the peg.