Intramedullary fixation assemblies (4, 8) and intramedullary fixation devices (1, 24) can be used in orthopaedic surgery for the fixation of bone fractures. Also disclosed is an insertion device (30) for inserting an intramedullary fixation device, and a method of fixing a bone fracture. The fixation devices are preferably for addressing fractures of the distal radius, and are preferably styloid nails. The styloid nails preferably have a head portion that can accept up to three bone screws; one of the bone screws is designed to extend across a fracture line between a proximal and a distal bone fragment while the other bone screws are designed to be retained in the distal bone fragment.