Bone Health

Femoral neck fractures in the young adult are a different type of fracture than those seen in the elderly. These younger patients have normal bone density. A simple fall is not going to break the femoral neck. These fractures require high energy type injury mechanisms, and greater than 50% of the patients will have associated injuries as a reflection of the severity of their injury. The mechanisms is usually an axial load to the lower extremity with an abducted hip. The fracture pattern in these patients tends to be more vertical than in the elderly patient.

Femoral Shaft Fractures Classification

Femoral shaft fractures in children are a little difficult to deal with, especially if you are taking care of them sporadically and especially when they are associated with polytrauma.

Femur Fractures: Open. The standard today for the care of closed femoral shaft fractures is closed intramedullary locked nailing.

Fracture Healing by non-operative methods

Controvesies of plate and nail fixations

OTA Basic Fracture Course

After 10 million years of experience we were brainwashed into believing that rigid immobilization of fractures was a prerequisite for fracture healing. Ten million years was not enough.

Humeral shaft fractures can be managed non-operatively with 90-100% union rates in almost all cases.

Humeral Shaft fractures - plates versus nailing

About 10-15% of humeral shaft fractures are actually going to have an associated radial nerve palsy, so it is a relatively common problem.

Indirect Reduction Techniques

Intertrochanteric Femoral Fractures

Lag Screw & Neutralization Plating: Principles & Techniques