Fracture shaft of femur // Management.pptx

This presentation provides a comprehensive overview of Fracture Shaft of Femur, covering its anatomy, types, causes, clinical presentation, diagnosis, and management. It includes surgical and non-surgical treatment options, complications, and physiotherapy rehabilitation protocols for optimal recovery. Essential for physiotherapy and medical students, this resource helps in understanding the biomechanics, healing process, and evidence-based rehabilitation strategies for femoral fractures.

1. Fracture shaft of femur Prepared By SOMA BALAJI PT MSK & SPORTS

2. The femoral shaft are a most common injury, often associated with polytrauma and can be life-threatening. They often result from high-energy mechanisms such as motor vehicle collisions

3. Causes of shaft of femur fracture Motor vehicles accident gun shot injuries fall from height elderly women osteoporosis

4. The fracture may occur at any site and is almost equally common in the upper, middle and lower thirds of the shaft. It may be a transverse, oblique, spiral or comminuted fracture depending upon the nature of the fracturing force. PATHOANATOMY

5. Types Based on the location pattern of fracture open/closed

6. Clinical features: The patient presents with a history of severe violence followed by classic signs of fracture in the region of the thigh (pain, swelling, deformity, abnormal mobility etc.)

7. Investigatons X rays Entire femur in AP & LATERAL VIEWS Ipsilateral hip in AP & LATERAL VIEWS Ipsilateral knee in AP & LATERAL VIEWS CT SCAN Trauma series 3D imaging

8. Management Non surgical Traction skin traction skeletal traction splints thomas splint

9. Traction: A fracture of the shaft of the femur can be treated by traction, with or without a splint. Usually a Thomas splint is used. Skin traction is sufficient in children, but skeletal traction is required in adults. Skeletal traction is given by a Stienmann pin passed through the upper-end of tibia.

10. Pavlik harness Pavlik harness pediatric patients up to 3months of age

11. Surgical management external fixation ORIF with plate cloverleaf nail intramedullary interlocking nail titanium elastic nail system

12. External fixation for shaft of femur

13. ORIF WITH COMPRESSION PLATE

14. Intramedullary interlocking nail (IMIL NAIL) An intramedullary nail is a metal rod that is inserted into the medullary cavity of a bone and across the fracture in order to provide a solid support for the fractured bone. Intramedullary nailing is currently considered the "gold standard" for treatment of femoral shaft fractures

15. COMPLICATIONS The complications following a fracture of the femoral shaft can be divided into early and late. EARLY COMPLICATIONS shock fat embolism injury to femoral artery Injury to sciatica nerve infection

16. LATE COMPLICATIONS Delayed union non union mal union knee stiffness