Executive Editor: Amy Kapatkin General Editor: Noel Moens

Authors: Bruno Peirone

Femoral shaft

back to skeleton

Glossary

Surgical procedures sorted by fracture type

Use this menu to jump directly into a specific classification (optional):
A1 A2 A3 B1 B2 B3 C1 C2 C3
A1

Incomplete fractures of the femoral diaphysis

Please select a treatment option:
Treatment Main indication Skill Equipment
Nonsurgical management Diaphyseal incomplete fractures Basic surgical experience, no specialized skills Basic equipment only
A2

Simple oblique fractures of the femoral diaphysis

Please select a treatment option:
Treatment Main indication Skill Equipment
Lag screw and neutralization plate Simple oblique fracture in large active patients Some specialized surgical experience Simple surgical and imaging resources
Intramedullary pin fixation with cerclage wires Simple oblique fractures in young patients Basic surgical experience, no specialized skills Basic equipment only
A3

Simple transverse fractures of the femoral diaphysis

Please select a treatment option:
Treatment Main indication Skill Equipment
Compression plate Transverse diaphyseal fractures Basic surgical experience, no specialized skills Simple surgical and imaging resources
B1

Diaphyseal fractures with one reconstructible wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Lag Screw and neutralization plate Diaphyseal fractures with large reconstructible fragments Some specialized surgical experience Simple surgical and imaging resources
Plate and rod Comminuted diaphyseal fractures with reducible or non reducible fragments Some specialized surgical experience Simple surgical and imaging resources
Interlocking nail Comminuted diaphyseal fractures with reducible or non reducible fragments Some specialized surgical experience Full specialized surgical and imaging resources
Tie-in technique Comminuted diaphyseal fractures with non reducible fragments in small patients Some specialized surgical experience Basic equipment only
B2

Diaphyseal fractures with greater than 1 reconstructible wedge

Please select a treatment option:
Treatment Main indication Skill Equipment
Plate and rod Diaphyseal fractures with non reconstructible fragments Highly experienced and skilled surgeon Simple surgical and imaging resources
Interlocking nail Diaphyseal fractures with non reconstructible fragments in young small patients Some specialized surgical experience Full specialized surgical and imaging resources
Bridging plate Diaphyseal fractures with non reconstructible fragments in young small patients Some specialized surgical experience Simple surgical and imaging resources
Tie-in technique Comminuted diaphyseal fractures with non reducible fragments in small patients Some specialized surgical experience Basic equipment only
B3

Diaphyseal fractures with one or more non-reconstructible wedges

Please select a treatment option:
Treatment Main indication Skill Equipment
Plate and rod Diaphyseal fractures with non reconstructible fragments Highly experienced and skilled surgeon Simple surgical and imaging resources
Interlocking nail Diaphyseal fractures with non reconstructible fragments Some specialized surgical experience Full specialized surgical and imaging resources
Bridging plate and alternative double plating Diaphyseal fractures with non reconstructible fragments Highly experienced and skilled surgeon Simple surgical and imaging resources
Tie-in technique Comminuted diaphyseal fractures with non reducible fragments in small patients Some specialized surgical experience Basic equipment only
C1

Complex diaphyseal fractures anatomically reconstructible

Please select a treatment option:
Treatment Main indication Skill Equipment
Lag Screw and neutralization plate Diaphyseal fractures with large reducible fragments Highly experienced and skilled surgeon Simple surgical and imaging resources
Plate and rod Diaphyseal fractures with reducible or non reducible fragmensts Some specialized surgical experience Simple surgical and imaging resources
Interlocking nail Diaphyseal fractures with reducible or non reducible fragmensts Some specialized surgical experience Full specialized surgical and imaging resources
Tie-in technique Diaphyseal fractures with reducible or non reducible fragmensts in small patients Some specialized surgical experience Basic equipment only
C2

Complex segmental fractures

Please select a treatment option:
Treatment Main indication Skill Equipment
Compression plate Diaphyseal segmental fractures Some specialized surgical experience Simple surgical and imaging resources
C3

Complex fractures with non- reconstructible wedges and no direct contact between the main two fragments

Please select a treatment option:
Treatment Main indication Skill Equipment
Plate and rod Diaphyseal fractures with non reducible fragments Highly experienced and skilled surgeon Simple surgical and imaging resources
Interlocking nail Diaphyseal fractures with non reducible fragments Some specialized surgical experience Full specialized surgical and imaging resources
Bridging plate and alternative double plating Diaphyseal fractures with non reducible fragments Highly experienced and skilled surgeon Simple surgical and imaging resources
Tie-in technique Diaphyseal fractures with non reducible fragments in small patients Some specialized surgical experience Basic equipment only
*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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