Learn the definitive approach to femoral shaft fractures in this orthopaedic masterclass. Master intramedullary nailing techniques, including antegrade versus retrograde entry points, Winquist-Hansen classificationand damage control orthopaedics in polytrauma. ⏱ Chapters 0:00 Intro 0:24 Essentials 0:59 Anatomy 1:32 Winquist 1:59 Retrograde 2:30 Entry 3:03 Rotation 3:33 Algorithm 4:06 Neckscreen 4:37 Numbers 5:06 Clinical reasoning — 1 5:35 Clinical reasoning — 2 This comprehensive video provides an in-depth look at the evaluation and surgical management of femoral shaft fractures. We cover critical anatomical deforming forces, the Winquist-Hansen classification for guiding locking strategyand essential clinical decision-making for the physiologically unstable polytrauma patient. Gain confidence in choosing the correct entry point, avoiding avascular necrosisand preventing the common pitfall of malrotation. 🦴 IN THIS VIDEO YOU'LL LEARN • How to apply the Winquist-Hansen classification to determine static versus dynamic locking strategies • The decision-making process for antegrade versus retrograde intramedullary nailing • How to identify and manage the five percent of patients with an ipsilateral femoral neck fracture • The principles of damage control orthopaedics versus early total care in polytrauma • Intraoperative techniques using the CORTICES mnemonic to assess and prevent malrotation • Why the trochanteric entry point is now preferred over the piriformis fossa • The predictable muscle deforming forces acting on proximal and distal third fractures • How to anticipate and manage the one to one and a half litres of hidden blood loss in closed fractures ⏱️ CHAPTERS 📌 KEY TAKEAWAYS ✔️ Reamed, locked intramedullary nailing within twenty-four hours is the gold standard for stable patients. ✔️ If the patient is physiologically unstable, apply a spanning external fixator for damage control orthopaedics. ✔️ Always fix the ipsilateral femoral neck fracture before nailing the shaft. ✔️ External rotation malreduction is the most common technical error; always compare clinically with the contralateral leg. ✔️ Avoid the piriformis entry point in children and use caution in young adults to prevent capital femoral avascular necrosis. 👩⚕️ WHO THIS IS FOR This masterclass is designed for orthopaedic surgical trainees, junior doctorsand medical students building their trauma knowledge. Curious patients looking for a detailed, high-level understanding of their femur fracture surgery will also find it highly informative. 📚 RELATED TOPICS: Subtrochanteric femur fractures and deforming forces · Damage control orthopaedics and the lethal triad · Floating knee injuries and ipsilateral tibial shaft fractures · Femoral neck fracture fixation techniques · Intramedullary nail biomechanics and static versus dynamic locking 🔗 More free orthopaedic teaching at Orthovellum.com — subscribe for weekly videos. 🎨 CREDITS • Original Orthovellum production. ⚠️ DISCLAIMER: Educational only — not individual medical advice. Always consult a qualified clinician for diagnosis and treatment. #orthopaedics #femoralshaftfracture #trauma #intramedullarynailing #orthopaedicsurgery #femurfracture #damagecontrol #polytrauma #winquisthansen #orthoteaching #medicalstudent #fracturefixation