Various embodiments of the invention relate to sleeves (30) having lengths that allow the sleeve to engage a patient's femoral intramedullary canal in a mid to distal region rather than only proximally. In preferred embodiments, the sleeve length is between about 60 millimeters to about 150 millimeters. In certain embodiments, the sleeve is adapted to extend beyond the lesser trochanter, to or near or beyond a patient's isthmus, and provide diaphyseal fixation.