Mid-shaft femur fracture

Differential Diagnosis

Femur Fracture Types

Proximal

• Intracapsular
  • Femoral head fracture
  • Femoral neck fracture
• Extracapsular
  • Intertrochanteric femur fracture
  • Trochanteric femur fracture

Shaft

• Mid-shaft femur fracture (all subtrochanteric)

References

Subtrochanteric (including Mid-Shaft)

• Occurs with severe trauma or in association with pathological bone
  • Blood loss can be substantial (average loss = 1L)
• Clinical presentation is similar to intertrochanteric fracture
• Management
  • Consider traction split though little evidence to support its use
  • Admit for ORIF