Sir,I have read the article with great interest by Gadegone et al. entitled “Long proximal femoral nail in ipsilateral fractures of proximal femur and shaft of femur”.1 Proximal femoral nailing in such fractures is a challenging task even in the hands of experienced trauma surgeons. Since I am also interested in the treatment of such complex fractures, I want to humbly share my concerns and queries.Authors label ipsilateral proximal femur and shaft fractures as extremely uncommon. Since the road traffic accidents and other forms high velocity injury are increasing, these types of fractures are common at least in tertiary hospitals.23 The proximal diameter of femoral nails used was 15 mm which is too wide and can shatter the trochanter which is an entry point chosen by the authors. Did the authors use nails from the same manufacturer for all cases? This is relevant because many of the various proximal femoral nails do not come with fixed anteversion angle. Author has stabilized femoral shaft fracture first before fixing the proximal femur fracture. We feel the proximal femur fracture should be fixed first because it is difficult after fixing shaft fracture with distal locking of femur. Author mentions no open reduction of the fractures was done for intracapsular fractures but closed reduction techniques (Whitman and Leadbetter) are useful only in isolated femoral neck fractures. What is the incidence of malunion in this study because it is one of the common complications of proximal femoral nailing?45 What is the advantage of abduction osteotomy over bone grafting of nonunion of basal neck fractures and shaft fracture? What is their experience with primary bone grafting in comminuted proximal femur and shaft fractures in their study?