Disclosed is a bone fracture fixation device, such as for reducing and
compressing fractures in the proximal femur. The fixation device includes an elongate
body with a helical cancellous bone anchor on a distal end. An axially moveable
proximal anchor is carried by the proximal end of the fixation device. The device
is rotated into position across the fracture or separation between adjacent bones
and into the adjacent bone or bone fragment, and the proximal anchor is distally
advanced to apply secondary compression and lock the device into place. The device
may also be used for soft tissue attachments.