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(A) A radiograph shows a displaced intertrochanteric hip fracture and a segmental Grade IIIB open femur fracture in a 30-year-old man. (B) At 3 months, the hip fracture has drifted into 5° of varus with slight compression of the lag screw in the barrel. The femoral shaft fracture showed no signs of union, and bone graft and plating were performed around the IM nail. Radiographs taken at 7 months postoperatively show final union of (C) the femoral shaft and (D) the hip fracture.
