FRACS Orthopaedic Exams


A twelve years and nine months, 47 kilogram, skeletally immature male presents to your hospital Emergency Dept with a closed, short oblique fracture of the mid-shaft of the right femur. The limb has no neurovascular injury, and no other injuries are present. All resuscitative measures have been performed.

The patient is the grandchild of a recently retired senior Orthopaedic surgeon who has guardianship of the child whilst his parents are overseas. He directs you to undertake definitive treatment using an antegrade IM femoral nail.

1. Your opinion is that this is not appropriate management for this patient. Outline your reasons for this.
2. Outline all other treatment options for this fracture. Which is your preferred option and why?

midshaft femoral fracture

Webpage Last Modified: 16 July, 2011
Return to top