Mid-shaft femur fracture

Includes all subtrochanteric femur fractures

Background

  • Occurs with severe trauma or in association with pathological bone
    • Blood loss can be substantial (average loss = 1L)

Clinical Features

  • Clinical presentation is similar to intertrochanteric fracture

Differential Diagnosis

Femur Fracture Types

Proximal

Shaft

Diagnosis

Management

  • Consider traction split though little evidence to support its use
  • Admit for ORIF

Disposition

  • Admit

See Also

External Links

References