A comminuted femur fracture like this one would have been treated with a rigid locked intramedullary nail in the first world where there is unlimited access to expensive equipment.
The only option here would have been 3 months bed rest in traction. Unless your surgeon has a creative mind. With the use of plastic bundle bands which are sterilized properly the segments can be fixed together………..
………..so that the fracture can be fixated with flexible Ender nails. Ender nails are considered obsolete in the first world, and that is great because it means that they are easy accessible free of charge.
The result is a stable fixation that allows the patient to be mobile and out of bed on the day after surgery. That saves time and money for the patient as well as the hospital.