Orthopedic implants and instruments for delivering the same

A method of fracture fixation, the method comprising:

• delivering a guide wire having at least two diameters across fractured portions of a fractured bone, the guide wire comprising a first, trailing portion having a first diameter and a second, leading portion having a second diameter greater than the first diameter, wherein the delivering comprises extending the second portion of the guide wire through cortex of the bone from a side nearer to an insertion location of the guide wire on the bone to a side further away from the insertion location;
• slidably mounting a cannulated elongate implant onto the first portion of the guide wire, the implant comprising an at least partially threaded shaft, the thread being on a portion of the shaft extending from a leading end of the implant toward a head of the implant;
• inserting the cannulated elongate implant into the bone guided by the guide wire, wherein threads of the implant engages the cortex on the side further away from the insertion location;
• and
• removing the guide wire from the bone by pulling the second portion of the guide wire away from the bone at the side further away from the insertion location,
• wherein the method does not include predrilling the bone prior to delivering the guide wire into the bone.