A surgical nail, such as an intramedullary nail, includes a nail body that includes a proximal end, an elongate intermediate portion comprising an intermediate flexible portion; and a distal end. The proximal end and the distal end are coupled and offset from one another by the elongate intermediate portion. The wherein the intermediate flexible portion comprises at least two cables boned one to another and configured to maintain a fixed length. The at least one cable comprises two or more cables twisted around one another in a helical arrangement and welded together. The proximal portion and the threaded end portion can be coupled together by the intermediate flexible portion as a unitary, integrated element prior to any use of the surgical nail in an implant procedure. The intermediate flexible portion is configured to permit the proximal portion to bend at an angle relative to the distal portion as a unitary, integrated element.