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We use a straightforward technique for insertion of proximal interlocking screw fixation during retrograde intramedullary nailing of the femur utilizing a common 3 cc syringe as a radiolucent soft tissue protector. Following insertion of the implant and distal interlock insertion, the distal Luer-Lok tip of a 3 cc syringe is cut off to create a hollow tube. Once the correct location of the proximal locking holes is confirmed fluoroscopically, the syringe is inserted through the incision into the soft tissue over the long drill sleeve an