Femoral shaft fractures

Question 1

What is the mechanism of injury of femoral shaft fractures?

Answer 1

1. High impact RTA or fall from height in young adults
2. Metastases
3. Stress fractures

Question 2

How is a femoral shaft fracture classified?

Answer 2

1. Location - proximal/mid/distal shaft
2. Configuration - transverse / oblique / spiral
3. Number of fragments

Question 3

What is the method of management of femoral shaft fractures?

Answer 3

1. ABCDE
2. Crystalloid for blood loss
3. Blood : FBC /U&E/G&S
4. Splint
5. X ray (ONLY XRAY AFTER SPLINT)

Question 4

What is the most common method of treatment of femoral shaft fractures?

Answer 4

Intramedullary nailing