Femur Shaft Fractures
Multidisciplinary Approach to Trauma, NOVA Publications , ss.137-144, 2022
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2022
- Yayınevi: NOVA Publications
- Sayfa Sayıları: ss.137-144
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
In this chapter, we discussed femoral shaft fractures commonly seen as a result of high- energy trauma. The incidence of femoral shaft fractures in the general population is between 8.5 and 18 per 100, 000 annually. In general, direct radiography is sufficient for diagnosis. However, CT may be required in shaft fractures showing joint extension. The treatment is almost entirely surgical for the adult, and surgical options include osteosynthesis with plate and screw, fixation with external fixator, retrograde intramedullary nailing and antegrade intramedullary nailing. Among these treatment options, which have distinct advantages and weaknesses compared to each other, the appropriate treatment option is determined and applied according to the patient’s age, activity level and fracture pattern. Alternative treatment modalities have variable complication potentials. The risk of complications such as neck fracture risk in antegrade nailing, knee joint pathologies in retrograde nailing, nonunion in plate and screw fixation, and malalignment in fixation with external fixator isincreased. For this reason, it is necessary to approach the appropriate fracture and the appropriate patient with the appropriate treatment.