26.Diaphyseal fractures of the femur

Question 1

What are the complications of diaphyseal fractures of the femur?

Answer 1

• Hemorrhage (femoral artery → 2 L blood loss!!!)
• Nerve injury
• Infection
• Non-union
• Mal-union
• Fat embolism * DVT!!!

Question 2

What is the treatment for diaphesial fracture of the femur?

Answer 2

Temporary: traction before surgery

Internal fixation with an intramedulary nail (within 24 hours) OR plate fixation

External fixation – used temporarily when the wound is contaminated → later internal fixation

Question 3

What is the healing time for femoral fractures?

Answer 3

4 – 6 months