A bone fixation assembly comprising: an elongate fixation member comprising: a central longitudinal axis ; a first portion configured to be coupled within a first intramedullary canal of a first bone fragment of a bone ; a second portion configured to be coupled within a second intramedullary canal of a second bone fragment of the bone to provide fixation of the second bone fragment relative to the first bone fragment ; and a flexible tensioning element couplable to the first and second portions of the elongate fixation member to secure the elongate fixation member to the bone , wherein: a first end of the flexible tensioning element is couplable with a second end of the flexible tensioning element to secure the elongate fixation member to the bone ; and when the first end of the flexible tensioning element is coupled to the second end of the flexible tensioning element, the flexible tensioning element is configured to span a bone fracture intermediate the first bone fragment and the second bone fragment to preload the bone fracture in compression to resist tensile force imparted across the bone fracture , thereby maintaining fixation of the first bone fragment relative to the second bone fragment . an elongate fixation member comprising: a central longitudinal axis ; a first portion configured to be coupled within a first intramedullary canal of a first bone fragment of a bone ; a second portion configured to be coupled within a second intramedullary canal of a second bone fragment of the bone to provide fixation of the second bone fragment relative to the first bone fragment ; and a central longitudinal axis ; a first portion configured to be coupled within a first intramedullary canal of a first bone fragment of a bone ; a second portion configured to be coupled within a second intramedullary canal of a second bone fragment of the bone to provide fixation of the second bone fragment relative to the first bone fragment ; and a flexible tensioning element couplable to the first and second portions of the elongate fixation member to secure the elongate fixation member to the bone , wherein: a first end of the flexible tensioning element is couplable with a second end of the flexible tensioning element to secure the elongate fixation member to the bone ; and when the first end of the flexible tensioning element is coupled to the second end of the flexible tensioning element, the flexible tensioning element is configured to span a bone fracture intermediate the first bone fragment and the second bone fragment to preload the bone fracture in compression to resist tensile force imparted across the bone fracture , thereby maintaining fixation of the first bone fragment relative to the second bone fragment . a first end of the flexible tensioning element is couplable with a second end of the flexible tensioning element to secure the elongate fixation member to the bone ; and when the first end of the flexible tensioning element is coupled to the second end of the flexible tensioning element, the flexible tensioning element is configured to span a bone fracture intermediate the first bone fragment and the second bone fragment to preload the bone fracture in compression to resist tensile force imparted across the bone fracture , thereby maintaining fixation of the first bone fragment relative to the second bone fragment . <EOS>