Surgical methods and fixation devices for bone fixation and stabilization on a patient include exposing at least a portion of a first phalanx and a second phalanx at a joint of a patient creating a passage in an intramedullary canal of the first phalanx inserting a first head portion of a fixation device along the passage in the intramedullary canal in a translating manner past the cancellous bone in the phalanx until the head portion engages the subchondral bone at a base of the first phalanx, the fixation device having an opposing second head portion extending out of the passage from the first phalanx and introducing the second phalanx onto the second head portion so that the second head portion anchors in the second phalanx.
