• Risk to the clinician (e.g. lack of patient compliance).
  • Fracture in target bone (compartment syndrome risk)
  • Attempt on target bone within 48 hours
  • Overlying site infection
  • Previous surgery near the insertion site (caution plates or implants)
  • Severe obesity or disrupted anatomical landmarks
  • Osteopetrosis (fracture risk)
  • Osteogenesis Imperfecta
  • Requirement for MRI (made using tungsten steel and are not MRI compatible)