Femoral Shaft Fractures (Subscribe)  

The spectrum of femoral shaft fractures is wide and ranges from nondisplaced stress fractures to fractures associated with severe comminution and significant soft tissue injury. Femoral shaft fractures are generally caused by high-energy forces and are often associated with multisystem trauma. Isolated injuries can occur with repetitive stress and may...

OTA poster/paper 1998 The etiology of the radiographic findings of osteolysis and periosteal reaction is not specifically known, but the presence of corrosion products at the taper junctions suggests particulate debris as a factor. There was an association between the radiographic abnormalities (osteolysis and periosteal reaction) and thigh pain and elevated...

Discussion of management of fracture at the distal end of a plate fixing the healed arthrodesis

Tutorial for medical students covering traction and operating measures for management of fractures of the diaphysis of the femur

The purpose of this study was to assess the functional outcome and causes of persistent disability in patients with isolated femoral shaft fractures treated at an academic level-1 trauma centre.
Conclusion: Recovery from femur fractures occurs most rapidly in the first 6months after injury. Residual deficits in functional out- come were...

OTA paper 2004: Does Knee Pain Matter?
This study was performed to assess the time course of functional recovery and to compare pain at the knee, thigh, buttock, and groin with functional outcome scores 6 months after isolated femur fractures.

OTA e-Poster 2001: An Anatomic Study. Identifies optimal point for retrograde insertion as 7mm anterior to PCL attachment and 3.5mm medial to the center of the intercondylar groove

OTA Poster 2004: This study evaluated how inaccurate distal-screw targeting affects the fatigue strength of titanium alloy tibial nails.
0.0025 in. of interference results in a reduction of fatigue strength by 30%

Medscape Conference Coverage from Orthopaedic Trauma Association 16th Annual Meeting, October 12 - 14, 2000, San Antonio, Texas.
topics of discussion at the Orthopaedic Trauma Association 16th Annual Meeting associated with femoral fracture management included:
* How much bone loss can be tolerated in open femoral fractures treated with intramedullary nailing,...

Case series using internal fixation. PubMed Abstract Orthopedics. 2005 Jun;28(6):587-92 Chhabra A, Westerlund LE, Kline AJ, McLaughlin R.

OTA Poster 2004: The purpose of this study was to document the hip abductor muscle strength following standard antegrade intramedullary nailing by using two different objective measures
Conclusions: Antegrade reamed interlocking intramedullary nailing of femoral shaft fractures through a standard piriformis fossa starting point is not associated with any significant...

OTA paper 1998: This study examines the effects of retrograde femoral nail insertion on the biomechanics of the patello-femoral joint.

OTA Paper 2001: Purpose: We developed a new percutaneous insertion technique for antegrade femoral nailing and evaluated its efficacy and complication rate.

OTA Paper 1998: This study was undertaken to determine if intramedullary femoral nailing produces immediate worsening of pulmonary gas exchange in patients with femoral shaft fractures.
Conclusion: The process of femoral nailing with and without reaming does not appear to produce significant pulmonary marrow element emboli to alter pulmonary gas exchange,...

OTA Paper 2004: We sought to quantify the inflammatory response to initial surgery and conversion and link this to subsequent organ dysfunction and complications.