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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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Related Experiment Video

Updated: Dec 15, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

Published on: June 6, 2025

Antegrade Nailing for Midshaft Femur Fractures.

Rafael Neiman¹

¹Department of Trauma, Acute Care Orthopaedic Service, Sutter Roseville Medical Center, Roseville, CA.

Journal of Orthopaedic Trauma

|July 9, 2020

Summary

Locked intramedullary nailing is standard for femur fractures. This video details a supine antegrade technique for morbidly obese patients, addressing unique challenges in bisphosphonate-related femur fractures.

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Last Updated: Dec 15, 2025

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner

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Published on: March 3, 2023

Area of Science:

Orthopedic Surgery
Trauma Surgery
Biomedical Engineering

Background:

Locked intramedullary nailing is the gold standard for treating midshaft femur fractures.
Optimal entry point and patient positioning for this procedure are still debated.
Morbid obesity presents unique surgical challenges during intramedullary nailing.

Purpose of the Study:

To demonstrate a specific surgical technique for treating midshaft femur fractures in morbidly obese patients.
To highlight considerations for bisphosphonate-related femur fractures in this patient population.
To present a supine antegrade nailing approach on a fracture table.

Main Methods:

Video demonstration of a surgical procedure.
Supine patient positioning on a fracture table.
Antegrade intramedullary nailing technique.

Main Results:

The video illustrates the practical application of supine antegrade nailing in a morbidly obese patient.
Specific adaptations for managing challenges associated with morbid obesity are shown.
The technique is applied to a bisphosphonate-related midshaft femur fracture.

Conclusions:

The demonstrated technique offers a viable approach for intramedullary nailing in morbidly obese patients.
Special considerations are crucial for successful outcomes in this patient group.
This video serves as an educational resource for managing complex femur fractures.