A fracture reduction assembly and method for insertion of the assembly through a surgical site in one embodiment includes a base portion including a bone contacting surface and an upper surface, a barrel with a first end portion connected to the bone contacting surface, the base portion and the barrel defining a bore extending through the barrel and the base portion and opening at the upper surface of the base portion, a screw portion including a shaft with a first diameter sized to fit within the bore and a threaded portion with a second diameter sized to not fit within the bore, wherein at least a portion of the shaft is positioned within the bore, and a retainer coupled with the shaft and having a third diameter sized to fit within a first portion of the bore but not within a second portion of the bore.