that's actually a tibfib. and yeah we amputated eventually. Surgeon "stabilized" it first so the patient could understand what happened before they went in and did the final revision.
i have seen a proximal femur fracture retracted into the pelvic girdle. tractor accident, which are low key the worst things you've ever seen. nerve damage, pissing blood, no rectal tone, just awful. Straight to surgery.