A subtalar implant comprising a body with a proximal end and a distal end, the body including a cylindrical portion proximate the proximal end, an externally threaded frustoconical portion extending generally from the cylindrical portion toward the distal end, an axially extending bore through the proximal end and the distal end, a driver formation coaxial with the bore and a female threaded portion coaxial with the bore and extending from about the proximal end toward the driver formation, the threads on the externally threaded portion being of an opposite turn to the threads on the male threaded portion.