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Femur (Femoral) Fracture - Intramedullary (IM) Rod Fixation. Surgical steps: 1. Pre-operative view of the  hip with displaced fracture at midshaft of the left femur; 2. Open surgical exposure of the upper femur showing hammering of the intramedullary rod into the femoral canal; 3. Placement of proximal and distal locking screws; 4. View of the repaired femur with intramedullary rod and locking screws in their final position.