Femoral fracture
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| Femoral fracture | |
|---|---|
| Classification and external resources | |
| ICD-10 | S72 |
| AO | 31-A1 - 33-C3 |
| MeSH | 68005264 |
A femoral fracture is a bone fracture that involves the femur.
Femoral shaft fractures
Femoral shaft fractures can be classified with the Winquist and Hansen classification, which is based on the amount of comminution:[1]
Distal femur fractures
Fractures of the inferior or distal femur may be complicated by separation of the condyles, resulting in misalignment of the articular surfaces of the knee joint, or by hemorrhage from the large popliteal artery that runs directly on the posterior surface of the bone. This fracture compromises the blood supply to the leg (an occurrence that should always be considered in knee fractures or dislocations).[2]
Treatment
A 2015 Cochrane review found that available evidence for treatment options of distal femur fractures is insufficient to inform clinical practice and that there is a priority for a high quality trial to be undertaken.[3]
Available evidence suggests that treatment depends on the part of the femur that is fractured. Traction may be useful for femoral shaft fractures because it counteracts the force of the muscle pulling the two separated parts together, and thus may decrease bleeding and pain.[4] Traction should not be used in femoral neck fractures or when there is any other trauma to the leg or pelvis.[5][6]
References
- ↑ Page 612 in: Title Surgical treatment of orthopaedic trauma. Authors: James P. Stannard, Andrew H. Schmidt, Philip J. Kregor. Publisher: Thieme, 2007. ISBN 1-58890-307-9, ISBN 978-1-58890-307-5
- ↑ Keith L. Moore, Arthur F. Dalley, Anne M.R. Agur. p527 of Clinical Oriented Anatomy 7th edition ISBN 978-1-4511-8447-1
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