What is a winquist fracture?
The Winquist classification of femoral shaft fractures is based on fracture comminution and was proposed by Winquist in 1980. This classification is used with regards to management decision making, in determining whether a fracture requires an intramedullary nail or open reduction.
How is comminuted femur fracture treated?
Most people with a fractured femur need some sort of surgery, usually ORIF. Without the surgery, your broken femur may not heal properly. ORIF can place your bones back into their proper configuration. This significantly increases the chance that your bone will heal properly.
What is a mid shaft femur fracture?
The long, straight part of the femur is called the femoral shaft. When there is a break anywhere along this length of bone, it is called a femoral shaft fracture. This type of broken leg almost always requires surgery to heal. The femoral shaft runs from below the hip to where the bone begins to widen at the knee.
Can a comminuted fracture heal without surgery?
They are very serious in large bones, and you will often need surgery to repair your bones. Sometimes, comminuted fractures happen to smaller bones and can heal without surgery.
How long does it take to heal a comminuted fracture?
Healing can take several months in severely comminuted and open tibia fractures (4) (Fig. 39-11), and pin loosening is likely to occur during such long healing times if simple frames are used.
Can you walk on a femoral shaft fracture?
The femur is one of the strongest bones in the body, and a break or fracture in the femur bone is often caused by severe injury such as trauma sustained in a motor vehicle accident. Symptoms of a femur fracture include severe pain, swelling, tenderness, physical deformity and often, the inability to walk.
How long does it take for femur shaft fractures to heal?
Most femoral shaft fractures take 3 to 6 months to completely heal. Some take even longer, especially if the fracture was open or broken into several pieces or if the patient uses tobacco products.
Where is the subtrochanteric femur?
Anatomy of the subtrochanteric area of the femur: the subtrochanteric area of the femur is defined as the area 5 cm distal to lesser trochanter.
What does Subtrochanteric mean?
Medical Definition of subtrochanteric : situated or occurring below a trochanter.
What is a subtrochanteric osteotomy?
Subtrochanteric osteotomy in total hip arthroplasty for developmental dislocation of the hip allows for acetabular exposure and diaphyseal shortening while facilitating femoral derotation.
Can an IM nail be removed?
Intramedullary nail removal is safe. Patients with anterior knee pain should be told that their pain may persist and that knee pain may even arise. Most patients will require crutches and an average of 2 weeks away from work.
When would you use a Thomas splint?
The modern “Thomas” splint is one of the most common pieces of medical equipment used in hospitals. It is a simple tool used to effectively immobilize limbs and has successfully reduced the morbidity and mortality that was once involved with limb fractures.