The development of femoral fracture treatment can be traced back to the 1940s when Kuntscher introduced the closed intramedullary nailing technique. The use of intramedullary nails (IMNs) in femoral fractures has become the standard of care over the past few decades, and current improvements in intramedullary nailing and advances in surgical techniques have allowed for a significant increase in the use of intramedullary nailing of the femur.