We experienced 2 cases of ipsilateral fractures of femoral supracondyle and shaft. Case 1. A 92-year-old woman complained of left thigh pain. Plain X-lay films showed supracondylar fracture. The next day, operative treatment was done by a 20-centimeter-long retrograde nail. Post operative radiographs revealed femoral shaft fracture. We performed re-operation with a 32-centimeter-long nail provided good stability. Case 2. A 81-year-old woman fell 6 months after total knee arthroplasty. She sustained ipsilateral fractures of femoral supracondyle and shaft. For four days, the extremity was treated with skeletal traction through a pin in the proximal end of the tibia. On the 5th day in the hospital, a 34-centimeter-long nail was inserted and locked statically with two screws proximal and three screws distal to the fracture. Alignment was seen to be nearly anatomical on the fluoroscopic image. At the most recent follow-up examination, four months after the operation, the patient was able to walk with the use of a cane. She reported no pain at the fracture site or in the right knee. The range of motion of the right knee was 0 to 120 degrees, and there was no pain. The patient was satisfied with the result. The nail provides stable internal fixation with good control of rotation and allows early range of motion.
