FRACTURE OF SHAFT OF FEMUR

Question 1

MECHANISM OF INJURY

Answer 1

YOUNG ADULTS= HIGH ENERGY INJURY
ELDERS = PATHOLOGICAL FRACTURE
CHILD = CHILD ABUSE

Question 2

RADIOLOGICAL INVESTIGATION

Answer 2

X RAY FEMUR
X RAY OF PELVIS AND CHEST

Question 2

CLINICAL FEATURE

Answer 2

CLASSICAL SIGNS OF FRACTURE
PAIN
SWELLING ( WOODY HARD )
DEFORMITY
RESTRICTED MOVEMENT
FEATURE OF SHOCK
ASSOCIATED WITH FRACTURE OF NECK OF FEMUR , NEUROVASCULAR INJURIES

Question 3

TREATMENT

Answer 3

BIRTH TO 2 YEARS
2 YEARS TO 10 YEARS
10 TO 16 YEARS
MORE THAN 16 YEARS

Question 4

BIRTH TO 2 YEARS

Answer 4

GALLOWS TRACTION ( LEGS OF CHILD TIED TO OVERHEAD BEAM AND HIP LIFTED OFF THE GROUND ) FOR 3 TO 6 WEEKS
THEN HIP SPICA FOR 2 TO 4 WEEKS

Question 5

2 TO 10 YEARS

Answer 5

RUSSEL TRACTION AND SPLINTAGE
THEN HIP SPICA FOR 2 TO 4 WEEKS

Question 6

10 TO 16 YEARS

Answer 6

INTERNAL FIXATION BY TENS OR PLATING TO REDUCE DAMAGE TO GROWTH PLATE

Question 7

MORE THAN 16 YEARS

Answer 7

OPERATIVE TREATMENT -
PLATING AND SCREW FIXATION ( MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS / BRIDGE PLATING )
IMIL - WHERE IMAGE INTENSIFIER NOT AVAILABLE KUNTSCHER CLOVER LEAF IM NAIL CAN BE USED

Question 8

COMPLICATION

Answer 8

EARLY -
SHOCK
FAT EMBOLISM AND ARDS
THROMBOEMBOLISM
INFECTION
LATE -
NON UNION
MALUNION
JOINT STIFFNESS OF KNEE
REFRATURE AND IMPLANT