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Trauma | Femoral Shaft Fractures

The Orthobullets Podcast

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Surgical Treatments for Fractures

Use of a fracture table increases the risk of internal rotation deformities when compared to manual attraction. Osteodomy is required for delayed union, with or without bone grafting. Treatment includes reamed exchange nailing, plate augmentation with nail retention, as well as compression plating. If noticed interoperatively be sure to remove the distal interlocking screws and manually correct rotation.

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