Innovative Management of Double Segmental Femur Fracture without Fracture Table: A Case Report

Femoral fractures are undoubtedly common injuries, typically resulting from high-energy trauma in younger individuals or from bone fragility in older adults. However, fractures involving two or more regions of the femur are quite rare. These are usually caused by high-energy trauma and are classified as segmental femoral fractures (SFFs), which are described by us.

A 35-year-old man with multiple-level femoral fractures at the subtrochanteric, diaphyseal, and supracondylar femoral regions - a condition known as double-SFFs - presented to our emergency department due motor vehicle collision. Intramedullary nailing was done without the use of a fracture table for fixation, and because there was a completely separated femoral fragment between the fracture lines, fracture reduction was difficult during reaming due rotation of the middle fragment.

Double-segmental femur fractures are regarded as exceedingly uncommon injuries. Our results highlight that intramedullary nailing without a fracture table can yield excellent functional outcomes, with patients expected to achieve full weight-bearing by four months and a full range of motion thereafter.