Understanding your thigh fracture injury is important. Let us try to help explain some of this to you.
On behalf of Dr. Pranav Shah and the orthopaedic team we hope to serve you soon!
1. Introduction of Region:
The thigh bone is the strongest and longest bone of the body. A fracture thigh bone (other than hip fracture) can be from the shaft (mid-thigh) or the lower end (above the knee).
Shaft Femur fracture – This is a very serious injury where up to 1.5 lit. of blood loss can occur. Other lethal complication of shaft femur fracture is fat embolism.
Distal Femur Fracture – Fractures of the thighbone that occur just above the knee joint are called distal femur fractures. The distal femur is where the bone flares out like an upside-down funnel. Distal femur fractures most often occur either in older people whose bones are weak, or in younger people who have high energy injuries, such as from a car crash. In both the elderly and the young, the breaks may extend into the knee joint and may shatter the bone into many pieces.
2. Causes of Fracture:
Femoral shaft fractures in young people are frequently due to some type of high-energy collision. The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash. Being hit by a car as a pedestrian is another common cause, as are falls from heights and gunshot wounds. A lower-force incident, such as a fall from standing, may cause a femoral shaft fracture in an older person who has weaker bones.
3. Do I Require Surgery? :
Yes, all adults and adolescents with shaft femur fracture will require surgery and that to as early as possible. Problems of delaying the surgery include complications which can be life threatening.
4. What are the Benefits of Surgery? :
The main benefits include,
- Relief from pain
- Able to mobilize the patient in bed and out of bed
- Preventing complications like bleeding, fat embolism, and compartment syndrome
5. What is the recovery process? :
Isolated femur shaft fractures are treated by intramedullary rods (nails). These patients can be made to stand and walk from the next day but frequently femur shaft fractures are associated with POLYTRAUMA (multiple bone fractures). So, recovery process may be slower due to other system injuries.
6. What are the risks in the Surgery? :
In addition to the risks of surgery in general, such as blood loss or problems related to anesthesia, complications of surgery may include (incidence of approx. 5%):
- Injury to nerves and blood vessels
- Blood clots& related deep vein thrombosis and lung complications
- Fat embolism (bone marrow enters the blood stream and can travel to the lungs; this can also happen from the fracture itself without surgery)
- Malalignment or the inability to correctly position the broken bone fragments
- Delayed union or nonunion (when the fracture heals slower than usual or not at all)
- Hardware irritation (sometimes the end of the nail or the screw can irritate the overlying muscles and tendons)
7. Does Age Affect Recovery? :
No, 98% patients, irrespective of their age will heal completely after a well done surgery for isolated femur shaft fracture.
AMOGST THE BEST ORTHOPEDIC SURGEONS IN INDIA
Dr. Pranav A. Shah is working currently as the Director of Orthopedic Trauma and Hip surgeries at CIMS hospital a JCI approved tertiary care well reputed corporate hospital in Ahmedabad. He was practicing earlier as a Senior Orthopedic Trauma Consultant Surgeon at Shalby Hospital, Ahmedabad from 2007 to 2017. Dr. Pranav Shah is a celebrated name as an eminent Orthopedic Surgeon who is highly recommended and referred to, because of his excellent skills and results even in most complex cases.