A standard technique will be followed. IV antibiotics will be administered within 60 minutes of the starting skin incision. Pin insertion will be done by standard techniques. This involves a 1 cm incision, and blunt dissection. 4.0 mm (calcaneal or metatarsal), 5.0 mm (tibia) or 6.0 mm (femur) pins will be inserted by one of two techniques: (1) self drilling pins are inserted with a power drill directly into the bone; (2) a standard twist drill bit is utilized with a power drill to create a pilot hole, followed by insertion of the self-drilling pin by power drill.