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
- Intracapsular
- Extracapsular
Shaft
- Mid-shaft femur fracture (all subtrochanteric)
Diagnosis
Management
- Consider traction split though little evidence to support its use
- Admit for ORIF
Disposition
- Admit