Independent screw targeting around intramedullary nail

An intramedullary nail system for providing a tibiotalocalcaneal (TTC) fusion, comprising:

• an intramedullary nail configured to be inserted through a medullary canal of a tibia such that a distal portion of the intramedullary nail is received within a calcaneus and a talus of a foot while a proximal portion of the intramedullary nail is received within the tibia, the intramedullary nail extending longitudinally from a distal end to a proximal end and including a plurality of locking holes extending transversely therethrough;
• an insertion handle configured to facilitate insertion of the intramedullary nail into the medullary canal of the tibia, the insertion handle extending from a distal end to a proximal end releasably couplable to the distal end of the intramedullary nail;
• and
• an aiming jig configured to be releasably coupled to the insertion handle, the aiming jig including a connecting hole and a plurality of openings extending therethrough, the connecting hole being sized, shaped and configured to slidably receive a distal portion of the insertion handle therethrough so that the aiming jig is in a desired orientation relative to the insertion handle and the intramedullary nail, the plurality of openings extending through the aiming jig along central axes defining a trajectory along which independent fixation elements are configured to be inserted through to provide supplemental fixation of one of a subtalar joint and a tibiotalar joint of the foot without colliding with the intramedullary nail and locking elements received within the locking holes thereof, when the aiming jig is in an operative configuration.