Abstract: A combined inserter for insertion of an intramedullary nail and a bone plate together. The combined inserter includes a body that includes a longitudinal axis, a distal end, and a proximal end. The combined inserter includes an intramedullary nail coupler coupled to the body and configured to couple to an intramedullary nail; and a bone plate coupler coupled to the body and configured to couple to a bone plate.

Abstract: An intramedullary nail includes a shaft between a proximal end and a distal end. The distal end includes a first bend that extends from an anterior side of the intramedullary nail toward a posterior side and a second bend that extends from the posterior side toward the anterior side of the intramedullary nail. The two bends transfer an insertion force on a distal end of the intramedullary nail to, and along a longitudinal axis of the shaft of the intramedullary nail.

Abstract: A femur fixation system includes an intramedullary nail that includes a first bending stiffness and a bone plate that includes a second bending stiffness and a second torsional stiffness. In the femur fixation system either at least one of the second torsional stiffness compensates for the first torsional stiffness and the first torsional stiffness is insufficient to enable the intramedullary nail to stabilize the bone fracture independently of the bone plate or the first bending stiffness compensates for the second bending stiffness and the second bending stiffness is insufficient to enable the bone plate to stabilize the bone fracture independently of the intramedullary nail.