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Trauma
intermediate
X-Type

Femoral Shaft Fracture Management

Lower Limb Fractures

A 25-year-old man is brought to the emergency department after a motor vehicle collision. He has an isolated closed, comminuted midshaft femur fracture with significant thigh swelling. Vital signs show tachycardia but stable blood pressure. The leg appears shortened and externally rotated. Distal pulses and sensation are intact. Regarding femoral shaft fractures:

Mark each as TRUE or FALSE

A

Femoral shaft fractures typically result from high-energy trauma in adults; up to 1-2 liters of bloo...

B

Antegrade intramedullary nailing is the gold standard treatment for isolated femoral shaft fractures...

C

Blood loss from femoral fractures is minimal (less than 500mL); the proximal fragment extends due to...

D

Damage control orthopaedics (DCO) with external fixation may be preferred in polytrauma patients wit...

E

Complications include fat embolism syndrome (petechial rash, hypoxia, confusion), malunion (shorteni...

Answer the questions to see explanations

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