Comminuted femoral shaft fractures

Comminuted femoral shaft fractures are often grouped with more simple femoral fractures for study. Although union always occurs, shortening and angulation can result from closed treatment using traction and cast bracing. Operative intervention using locked intramedullary nails can lead to a consistently excellent outcome when the performance of the procedure is technically correct. The surgical procedure can eliminate a difficult management problem in multiply-injured patients.