| Fractured Neck of Femur
| Fractured Shaft Femur
| Supracondylar Femur Fractures
| Femoral fractures and Injuries
- Unusual injury to the femur just above the knee joint.
- Can involve high force
- Fractures can involve the cartilage surface of the knee joint
- At the risk of cartilage injury and developing knee arthritis
- Localised pain and swelling
- Check pulses and nerves
- X-ray: hip, femur, knee, tibia/fibula
- Computed tomography for selected patients
- Damage to femoral artery
- Compartment syndrome
- Venous thromboembolism
- Fat embolism
- ABCDE as per ATLS. Check distal pulses and neurology. Good analgesia. Sterile dressing to open wounds. Attempt gentle traction to reduce gross deformities and splint
- Open wounds: Tetanus vaccination should be updated. Give IV antibiotics e.g. Augmentin or clindamycin. Consult Orthopaedics. Need debridement and wound care as soon as is possible to reduce the risk of infection.
- Treatment of a supracondylar femur fracture usually involves operative intervention. This involves reduction followed by fixation to maintain alignment. Options include external fixation and internal fixation.
- Fractures above a total knee replacement may require revision of the knee prosthesis, especially if it is loose