“…Several studies concluded that retrograde nailing in the management of distal femoral fractures had better outcomes in regard to mobilization, less time to fracture union, soft tissue injury, range of movement, operative time, operative blood loss, and functional outcome [1,8,11,12,13]. Memon et al, stated that retrograde intramedullary nail fixation is a better choice for distal femur fracture management and furnish a secured intramedullary fixation with mild soft tissue injury [14].…”