Abstract: An intramedullary bone plate with sheath having an intramedullary stem, a bone plate head and a neck that connects the intramedullary stem to the bone plate head in a manner where the stem and head are offset from each other longitudinally and axially in the sagittal plane. The bone plate head includes a sheath recess wherein non-threaded bone screw holes and a threaded sheath screw hole are located. Bone screws are inserted through the sheath recess and oriented at set angles allowing for bone fragment fixation and fracture reduction. A sheath element is placed within the boundaries of the sheath recess and secured with the sheath screw. The intramedullary stem includes longitudinal flutes in its distal portion and a bi-arced geometry in its proximal portion providing for stabilization of the implanted device. The bone plate head configuration provides for more complete fracture capture and multiple fixation modalities.