Methods for anterior-to-posterior talus-calcaneus screw insertion through an ankle arthrodesis nail according to embodiments of the present invention include coupling a first jig to the nail, aligning a drill bit with a first aperture of the nail by inserting it through a second aperture in the first jig, drilling a first hole through a tibia aligned with the first aperture, fixing the nail to the tibia with a screw through the first hole into the first aperture, coupling a second jig to the first jig, aligning the drill bit with a third aperture in the nail by inserting the drill bit through a fourth aperture in the second jig, drilling a second hole through a talus and a calcaneus aligned with the third aperture and fixing the nail to the talus and calcaneus by inserting a screw through the second hole into the third aperture in an anterior-to-posterior direction.
