Mid-shaft femur fracture: Difference between revisions
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(Added brief information about traction splinting) |
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==Management== | ==Management== | ||
*Consider traction | *Consider traction splint | ||
**Little evidence to support its use | |||
**Theoretical benefit of traction splinting is reduction in bleeding and improved pain | |||
**Sagar and Hare splints are commonly used by EMS providers | |||
*ORIF | *ORIF | ||
Revision as of 22:59, 25 February 2016
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 splint
- Little evidence to support its use
- Theoretical benefit of traction splinting is reduction in bleeding and improved pain
- Sagar and Hare splints are commonly used by EMS providers
- ORIF
Disposition
- Admit