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Updated: Jan 18, 2026

Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Triple-Segmental Shaft Femur Fracture: A Case Report
Sankalp Lal1, Amit Kumar Jha2, Prabhanjan Agrawal2
1Department of Orthopaedics, Sports Injury Centre, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.
Introduction:
Segmental femur fractures, an uncommon injury pattern, are usually caused by high-energy trauma such as road traffic accidents. Despite their complexity, early intervention is essential for maximising recovery and reducing complications.
Case Report:
A 34-year-old male presented with multiple fractures, including a triple-segmental shaft femur fracture, following a high-energy road traffic accident. An intramedullary nail was used for closed reduction and internal fixation of the femur fracture, which provided stable fixation while preserving the blood supply and minimising soft-tissue damage.
Conclusion:
When treating complicated femur fractures, intramedullary nailing should be preferred because it minimises soft-tissue damage while offering stable fixation. It promotes early mobilisation and optimal healing, even with multiple fracture segments.
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