Lower Limb Trauma
A 28-year-old man is brought to the emergency department after a motorcycle accident. He has an isolated closed mid-shaft femoral fracture with significant shortening. He is hemodynamically stable with no other injuries. The fracture pattern shows a transverse fracture at the isthmus level with minimal comminution. Regarding femoral shaft fracture treatment with intramedullary nailing:
Mark each as TRUE or FALSE
Intramedullary nailing is the gold standard treatment for femoral shaft fractures in adults; antegra...
Reaming versus unreamed nailing: reamed nailing allows larger diameter nails (better mechanical stab...
Plate fixation is the gold standard for femoral shaft fractures; unreamed nailing has higher union r...
Entry point considerations: piriformis fossa entry is in line with the femoral canal but risks damag...
Complications include: malrotation (most common technical error, compare to contralateral side clini...
Answer the questions to see explanations
Click T (True) or F (False) for each option