A 44-year-old man was presented to emergency department after a motor vehicle accident. On physical examination local tenderness and swelling was present over both thighs and right knee. His vital signs were 90/60 mmHg blood pressure and 130/min pulse rate. The hemoglobin level was 10.2 g/dl initially. Bilateral intertrochanteric femur fractures (OTA classification - 31A.1.2) and bilateral femoral diaphyseal fractures (OTA classification - 32A.2) and nondisplaced right proximal tibial fracture (OTA classification - 41B.1) were determined in radiographs (Fig. 1). He was operated on the fifth day of admission after hemodynamic stabilization. Transtibial skeletal tractions were applied for both sides up to surgery. In a single session, locked intramedullary nails were used for the fixation of intertrochanteric and diaphyseal femoral fractures after closed reduction for both extremities. Open reduction and internal fixation with cannulated screws were performed for right proximal tibial fracture. Four units of packed red blood cells and two units of fresh frozen plasma were given to the patient totally. A rehabilitation program was started immediately after surgery. One week after surgery seropurulent discharge was observed from the incision of right tibia. Staphylococcus aureus was cultivated. Infection was treated with oral antibiotics. Patient was discharged 12 days after operation. Weightbearing was allowed 6 weeks after surgery for both sides. Dynamization of both nails were performed at 4th month due to delayed union. (Fig. 2) Complete union of fractures were showed with radiographs at 8th month follow up. Implants were removed three years later. Patient had mild pain, especially in his right hip, and limp at 12th year control. Degenerative changes were observed at right hip on radiographs. (Fig. 3) Although movements of right hip were restricted, he was able to do his daily activities with minimal limitation and without medication (Fig. 4).