A medical implant for osteosynthesis wherein the implant has a first configuration when it is releasably attached to a delivery instrument and a second configuration when it is released from the delivery instrument. The implant has non-symmetrical means for fixation to bone segments and when the implant is released following insertion into the bone segments the fixation means prevent or minimizes rotation or other movement of the bone segments relative one another. The fixation means also have means to prevent pullout from bone. The means for fixation may be adapted to compress, distract or control special orientation of the bone segments relative to one another. The implant may be packaged in a kit with tools to facilitate implant surgery.