Management of Fracture Shaft Femur

Femoral shaft fractures in adults are reasonably common and can occur in isolation or in association with other injuries. They are typically high-energy in aetiology, especially in young adults, and require special consideration to the physiological impact of injury on the patient. The evolution of treatment for these fractures has seen changes in the timing of surgery as well as the techniques employed, but the principles of stable internal fixation remain. Good outcomes and low complication rates can be expected if the operating surgeon has a thorough understanding of the anatomy, basic science and surgical technique relating to the treatment of femoral shaft fractures.