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8 paź 2023 · Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures.
2 sty 2023 · Outline the common complications of femoral shaft fracture treatment. Explain the importance of improving care coordination among the interprofessional team to enhance the functional outcome for patients with femoral shaft fractures.
Femoral shaft fractures are most commonly the result of high energy trauma in the young adult population and may be associated with multiple system injuries. Early fixation by closed intramedullary nailing is the currently preferred method of treatment of fractures of the shaft of the femur in multiply injured patients .
Fractures of the femoral shaft are a most common injury, often associated with polytrauma and can be life-threatening. They often result from high-energy mechanisms such as motor vehicle collisions with sequelae of limb shortening and deformities if not treated correctly.
Fixation of femur fractures at 2 to 5 days was associated with a significant increase in pulmonary complications, particularly with concomitant head or chest trauma, and length of stay. Chest and head trauma are not contraindications to early fixation with reamed intramedullary nailing.
Femoral shaft fractures can cause further injury and complications. The ends of broken bones are often sharp and can cut or tear surrounding blood vessels or nerves, though this is very rare. Acute compartment syndrome may develop.
