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Trauma
intermediate
X-Type

Femoral Shaft Fracture Fixation

Lower Limb Fractures

A 35-year-old man is involved in a motor vehicle accident and sustains an isolated closed mid-shaft femoral fracture. He is haemodynamically stable with no other injuries. The fracture pattern shows a transverse configuration with minimal comminution. The trauma team is planning for surgical fixation. Regarding femoral shaft fracture fixation:

Mark each as TRUE or FALSE

A

Intramedullary (IM) nailing is the gold standard for femoral shaft fractures in adults; advantages i...

B

Antegrade nailing (piriformis or trochanteric entry) is standard for most femoral shaft fractures; t...

C

Plate fixation is the gold standard; unreamed nails are stronger than reamed; delayed fixation beyon...

D

Retrograde nailing (entry through intercondylar notch) is indicated for: ipsilateral hip injury or a...

E

Complications include malunion (rotational malunion greater than 15 degrees external or 10 degrees i...

Answer the questions to see explanations

Click T (True) or F (False) for each option