An apparatus for securing together first and second bone segments having peripheral surfaces comprising one or more bends. In some implementations the fixation device includes an elongate flexible strap having a proximal end and a distal end, the elongate flexible strap having a plurality of ratchet teeth disposed along an elongate distal portion thereof that function with a ratchet member within a locking head situated at the proximal end to permit the formation of a closed loop about the bone fragments. In some implementations the elongate flexible strap has a first elongate portion situated between the locking head and the elongate distal portion, the first elongate portion of the elongate flexible strap being more flexible than the elongate distal portion of the elongate flexible strap, the first elongate portion configured to extend across at least one of the one or more bends when the apparatus is in a secured state.