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CASE A case of a distal third femoral shaft fracture treated with retrograde nailing complicated by proximal cortical breach is presented. The proximal fracture was detected intraoperatively and treated with plating. CONCLUSION Although rare, clinicians should be cognizant of the risk for proximal femur fractures secondary to retrograde femoral nailing in elderly patients.CASE Massive bone loss around the elbow is a challenging clinical condition. Short periarticular osseous segments present few reconstructive options in the setting of d

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