Femur fracture treatment by Dr. Aditya Kapoor
The femur is your thighbone – it is the strongest and longest bone in the body. Being a strong bone in the body, it takes lots of force to break this bone. This usually happens in motor vehicle accidents – wherein the collision and force act very strongly on thigh bones.
The femoral shaft is the longest and straight part of the femur bone. Any break in this part of the bone is called a femoral shaft fracture. To treat this type of fracture, surgery is almost always required.
Types of femoral shaft fractures
Depending on the force and the nature of the fracture, femur fractures vary greatly
Stable fracture – fractured bone’s pieces line up correctly
Displaced fracture – fractured bone is out of alignment
The other most common types of femoral fractures include
Comminuted fracture: in this type, the bone has broken into three or more pieces.
Spiral fracture: the line of the fracture encircles the shaft like a stripe
Transverse fracture: The break appears like a horizontal line going across the femoral shaft.
Open fracture: The bone breaks and opens out through the skin or wound – this type of fracture is known as open or compound fracture. Open fractures cause severe damage to the bone and surrounding soft tissues such as – ligaments, tendons, and muscles. The risk of infections is very high with this type of fracture. Furthermore, an open fracture takes a longer time to heal.
What are the causes of femoral shaft fractures?
This type of fracture results from high-energy collision. Therefore, the number one cause of femoral shaft fractures is car accidents and motorcycle accidents. However, older adults and elderly people – owing to old age and weaker bones, fall from standing positions can also lead to femur fractures.
Symptoms of femur fracture
- Extreme – unbearable pain
- The injured leg may look deformed or shorter
- You may not be able to put weight or move the leg
- The leg may not appear straight
Diagnosis
Your orthopedic doctor will take your medical history and ask a few questions regarding the type of fall, accident, or injury you have. It will help your doctor determine the intensity of the collision, fall, or forceful impact you have had on your hip. The doctor will also ask you about other health conditions you may have such as high blood pressure, asthma, allergies, or diabetes. Next, your doctor will do a thorough and careful physical examination. While doing so, the doctor will look for any breaks in the skin, a deformity in the thigh, shortening of the leg, bruises, or any bony pieces piercing out of the skin. The doctor will also check for any other abnormality – tightness in the skin and muscles around your thigh – and also for sensation and movement in your affected leg and foot.
Radiology – Imaging Tests
To get a clear view and more information about your injury, your orthopedic doctor will order imaging tests -such as X-ray and CT (if needed).
Femur Fracture Treatment
Surgical treatment is needed for femur fracture. Treatment of femoral shaft fractures without surgery is quite unusual. Most fractures should be fixed within 24 to 48 hours. Occasionally, fixation may be delayed due to life-threatening injuries or unstable medical conditions. Intramedullary nailing is the procedure most surgeons use to treat femoral shaft fractures. A metal rod and screws are used to fix the fracture. In another type of procedure, metal plates and screws are used to fix the fracture.
Recovery The recovery time for a femoral shaft fracture is up to 4 to 6 months. Open fractures may take a longer time to heal completely.