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Orthopaedics
Femoral Shaft Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
3 sections · 102 slides
Overview
- Introduction
- Femoral shaft fractures: core principles
- Anatomy and biomechanics
- Surgical anatomy of the femoral shaft
- Surgical anatomy of the femoral shaft
- Deforming forces on the fragments
- Deforming forces on the fragments
- Loads on the curved femur
- Loads on the curved femur
- Safe zones for pin placement
- Safe zones for pin placement
- Initial assessment and planning
- First aid and splintage
- First aid and splintage
- Soft tissues and associated injuries
- Soft tissues and associated injuries
- Radiographic planning for nailing
- Radiographic planning for nailing
- Patient status and the first step
- Patient status and the first step
- AO/OTA classification
- Type 32A: simple fractures
- Type 32A: simple fractures
- Types 32B and 32C: wedge, multifragmentary
- AO/OTA type tree for the femoral shaft
- AO/OTA type tree for the femoral shaft
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Treatment options
- Treatment options (1)
- Treatment options (1) (cont.)
- Treatment options (2)
- Treatment options (2) (cont.)
- Antegrade versus retrograde nailing
- Antegrade versus retrograde nailing
- When not to nail, and when to plate
- When not to nail, and when to plate
- Simple fractures (32A)
- Simple fractures: treatment principles
- Simple fractures: treatment principles
- Simple fractures: options by level
- Simple fractures: options by level (cont.)
- Decision logic: simple fractures
- Decision logic: simple fractures
- Wedge and multifragmentary (32B, 32C)
- Wedge and segmental: treatment principles
- Wedge and segmental: treatment principles
- Wedge and segmental: options by level
- Wedge and segmental: options by level (cont.)
- Decision logic: wedge and segmental
- Decision logic: wedge and segmental
- Positioning and approaches
- Patient positioning options
- Patient positioning options
- Antegrade nailing approach
- Antegrade nailing approach
- Pitfalls of the antegrade entry
- Pitfalls of the antegrade entry
- Retrograde nailing approach
- Retrograde nailing approach
- Lateral and MIO approaches
- Lateral and MIO approaches
- Intramedullary nailing technique
- Reamed versus unreamed nailing
- Reamed versus unreamed nailing
- Antegrade nailing: step sequence
- Antegrade nailing: step sequence
- Four reaming pitfalls
- Four reaming pitfalls
- Nail locking
- Nail locking
- Checking rotation during surgery
- Checking rotation during surgery
- Retrograde nailing: specific points
- Retrograde nailing: specific points
- Proximal third fractures: nailing points
- Proximal third fractures: nailing points
Plating, external fixation and traction
- Compression plating: step sequence
- Compression plating: step sequence
- Bridge plating: planning rules
- Distal third: LISS and DCS
- Distal third: LISS and DCS
- Temporary external fixation
- Temporary external fixation
- Applying a Thomas splint
- Applying a Thomas splint
- Nonoperative treatment in traction
- Nonoperative treatment in traction
Aftercare and complications
- Aftercare after nailing or plating
- Complications by treatment
- AO case: nonunion after damage control
- AO case: nonunion after damage control
- Take-home messages
- References (1 of 5)
- References (2 of 5)
- References (3 of 5)
- References (4 of 5)
- References (5 of 5)
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