Why not a nail? The femur is scarred already, and i suspect open mobilization would be a demanding procedure. I plan to apply a distractor and perform closed reduction.
The fracture is quite distal and the bone in this region is osteopenic. This poor bone quality does not allow for good purchase of the distal locking screws and therefore poor varus/valgus stability. The locking plates are much better at providing this stability in osteopenic bone.
