Femoral Shaft Fractures
Epidemiology
Usually young patients
- 15 - 40
15% compound
Aetiology
High velocity injury
- MBA
- MVA
- pedestrian v car
- fall from height
Emergency Managment
EMST principles
- need for transfusion not uncommon
weight bearing
Background
Anatomy
Bony
- 90% load through plafond to talus
- 10% load through lateral talofibular articulation
Ligaments
A. Lateral Ligament Complex
ATFL (Anterior Talo-Fibular Ligament)
- tight in plantar flexion