Intramedullary rod and blade assemblies and methods of implanting said assemblies are disclosed herein. The assemblies provided herein are useful in treating distal, proximal fractures, among other conditions, in large bones including, but not limited to: femurs, tibias, and humeri. Preferred assemblies can include an intramedullary rod having a proximal end and coupling means configured to securely attach to a blade, such that no portion of the rod or the coupling means extend into the fractured fragment beyond the blade. Further preferred assemblies include intramedullary rods that connect in the center of the internal blade, or substantially so, such that the rod and blade form a “T-shape,” or substantially so.