Methods and systems for applying anteroposterior compression to tarsal or carpal bones are provided. One such method includes securing a first fixation plate and a second fixation plate medial and lateral to the bones, respectively, with an anchoring bolt, wherein the anchoring bolt secures the first and second fixation plates relative to each other and the bones. The method may further include inserting a first and second pin into the bones through compression slots disposed on each of the first and second fixation plates. The method may further include using a first clamp to apply a first anteroposterior compression to the first and second pins associated with the first fixation plate and using a second clamp to apply a second anteroposterior compression to the first and second pins associated with the second fixation plate.
