Home

Femur fracture case study SlideShare

Case Report : closed fracture 1/3 middle left femur 1. CASE REPORT Patient Identity • Name : Mr. M • Age : 16 years old • Sex : Male • Date of admittance : 23th June 2013 • No. MR : 615468 History Taking : • Chief complain : Pain at the left thigh • History of illness : Suffered since 3 hours before admitted to the hospital due to a traffic accident clinical case presentation of stress fracture of femur neck in skamch&rc bangalore Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website Upcoming SlideShare. 85795682 19800479-case-study-fracture-1 study will lead to development of new skills and new approaches to the care of patient's with fracture on the right femoral neck. This case study could also as basis for related study and will provide facts for further research in aiming for the improvement of these patient In case of communited fractures, the posterior sag of the distal fragment may be corrected by lifting up with a HIP SKID under the fracture by an assistance or with the use of a crutch under the proximal thigh. Post-op xrays - to confirm reduction with spl. Attention paid to cortical contact medially and posteriorly 49

14. • The soft tissues are always injured and bleeding from the perforators of the profunda femoris may be severe. • Beware of the fracture at the junction of the middle and distal thirds of the femoral shaft - it can be responsible for damaging the femoral artery in the adductor canal. 2/3/2018 P.C.Aryal Intern Group N 14 Femoral neck fractures are the most common type of fractures around the hip joint- more common This is short presentation of most common fracture in hip joint. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising

Femur Fracture Treatment and The Healing Process. In some cases, femoral shaft fractures require not only surgery, but the placement of a steel, intramedullary rod called an intramedullary rod. Just take this femur fracture recovery case study, in which a patient required the placement of a rod for a fracture in her left femur Open reduction and internal fixation of distal radial fractures with an angular stable locking plate applied to the volar surface has gained vast popularity recently. Methodology: This case study was conducted on Mr D.S.Dahiya during the first week of November 2016 to last week of february 2016 in total 4months Case Study - Femoral Neck Fracture in a 79-Year-Old Woman. A 79-year-old woman presents to the emergency department (ED) with a chief complaint of a 3-day history of right hip pain. She only mildly twisted her right leg 3 days ago; she has since had increasing pain and difficulty walking. The pain is sharp and radiates down to her right knee

The First case of hip fracture with pressure ulcer and nursing management followed by the BNC national guide line is described in bellow: Case-1: A male 79 years older patient admitted on 19/09/2015 at: 1.30Pm, in Orthopeadic ward, SSMC Mitford Hospital Dhaka with fracture of Neck of Right Femur & Trochanter with Severe hiccough (Electrolyte. Case Study: David Conditions Treated Femoral Neck Fracture with Avascular Necrosis of the Hip Age Range During Treatment 16 Years David S. Feldman, MD Chief of Pediatric Orthopedic Surgery Professor of Orthopedic Surgery & Pediatrics NYU Langone Medical Center & NYU Hospital for Joint Disease Case Study Who: 51-year-old active male s/p intramedullary rod for L femur ORIF. What: The AlterG Anti-Gravity Treadmill™ was used in the post-operative rehabilitation program with this patient. Why: Body weight support was used to help normalize gait mechanics and with return to running progression. Allowed patien

A systematic review and meta-analyses of 5 case control studies and 6 cohort studies has suggested that there is a RR=1.70 of subtrochanteric, femoral shaft and atypical fractures of the femur amongst bisphosphonate-treated patients and RR=11.78 when studying in particular atypical femoral fractures and bisphosphonate exposure [23] Distal Femur Fractures. Distal femur fractures are traumatic injuries involving the region extending from the distal metaphyseal-diaphyseal junction to the articular surface of the femoral condyles. Diagnosis is made radiographically with CT studies often required to assess for intra-articular extension Case Study > Malunion Femur. Malunion - Femur : This 30 year old gentleman had met with an accident about 2 years back, following which there was a fracture of the left femur (thigh bone). He was treated at the local hospital where plating was done. The fracture healed and the plate was subsequently removed Pediatric femoral shaft fractures are one of the most common peditric orthopaedic fractures and are the most common reason for pediatric orthopaedic hospitalization. Femoral shaft fracture in children not yet walking must raise suspicion for non-accidental trauma. Treatment depends on the age, fracture pattern, and weight of the patient The femur, humerus, and tibia are the most common long bones fractured in child abuse. The report further added that In the nonambulatory child, femoral fractures are more likely to be caused by child abuse, whereas these fractures in ambulatory children are rarely inflicted by abuse. [ 20, 21] Pathologic causes

Case Report : closed fracture 1/3 middle left femu

Summary. Femoral shaft fractures are high energy injuries to the femur that are associated with life-threatening injuries (pulmonary, cerebral) and ipsilateral femoral neck fractures. Diagnosis is made radiographically with radiographs of the femur as well as the hip to rule out ipsilateral femoral neck fractures 1. Introduction. Femoral fractures are very common in the population under 25 years of age and in the population over 65 [1].The incidence of fractures of the femur is 1/10 000 patients a year.They are usually the result of high-energy trauma (traffic accidents, gunshots injuries, falls from heights) and often associated with injuries of other structures (soft tissue, neurovascular) and other.

Case Study: Hip fracture Leah Koeman SP is admitted to the orthopedic floor. She fell at home and sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby. Her father died of cancer at age 62, her mother died of heart failure at 79. She is 5 ft 3 inches and weighs 118lbs Objective. This case study describes a perimortem hip fracture in a documented individual from the Robert J. Terry Skeletal Collection. The purpose of this paper is to comprehend how co-occurring conditions contributed to fracture risk and to understand the effect of the injury on this individual fractures.9,10 Although not always consistent, most studies suggest the femoral neck is the most common part of the femur involved.11-13 It has been proposed that the femoral neck is at increased risk due to weight bearing forces from the trunk causing compressive forces on this section of the bone.14 Femoral shaft fractures may account for 3.

To ensure that our customers always get what they need, we offer real-time chat with the expert working Fracture Case Study Slideshare on your project, essay or do my homework for me paper. If you have any Fracture Case Study Slideshare questions related to the order, do not hesitate to contact your writer through a private chat that you will. Open Distal Femur Fracture Case Study Patient had an open distal femur fracture after a motor vehicle accident that was complicated with a contaminated wound site. Surgery was delayed to address other, more urgent medical issues, which increased the risk of infection. Presentation Authors Blaine Farless, M system for femoral fractures.[J].Proc Inst Mech Eng H 228 (2014): 899-907. This articleis an open access distributed under theterms and conditions of Creative Commons Attribution (CC-BY) license 4.0 Citation: Ariful Haque, Ganxuewen, Tong Wu, Zhang Long, Xiong Ying. A Case Study of Periprosthetic Femur Fracture and Internal Fixation Avascular necrosis is a condition caused by a lack of blood supply to the bone tissue. In this case, the patient's fractured hip was the likely trauma-related etiology for her AVN. The spectrum of nonsurgical and surgical treatment options was discussed, including femoral head osteochondral allografting, osteotomy, and total hip replacement

Clinical Case Presentation of Stress Fracture of Femur Neck

During the study period (January - October 2017), there were 188 cases of accidental falls among elderly with a diagnosis of femoral fracture in the city of São Paulo. As shown in Table 1 the main injury diagnoses among elderly who suffered fall accidents were Femoral Neck Fracture and Peritrochanteric Fracture Case study Dx.Closed fracture intertrochanteric of left femur: Case study Dx.Closed fracture intertrochanteric of left femur, ผู้ป่วยได้รับการผ่าตัดCRIF c PFNA (proximal femoral nail antirotain)เป็นการผ่าตัดใส่โลหะดามกระดูกในโพรงกระดูกเข่า(ชุด dynamic.

Case Study: Fractured Hand. Introduction The reflective framework chosen for this case study is that of Peters (1991). This framework has been used and favourable evaluated within education (Bell and Gillett, 1996). Peters' (1991) reflective framework incorporates a guideline called DATA comprising four steps Femur Shaft Fractures (Broken Thighbone) Your thighbone (femur) is the longest and strongest bone in your body. Because the femur is so strong, it usually takes a lot of force to break it. Motor vehicle collisions, for example, are the number one cause of femur fractures. The long, straight part of the femur is called the femoral shaft CASE STUDY Chapter 62: Caring for Clients With Traumatic Musculoskeletal Injuries Joe Sneed, a 35-year-old male, was admitted to the hospital after a skydiving accident. He suffered a left femur fracture. He went to the operating room immediately upon arriving to the hospital and had open reduction internal fixation (ORIF) completed. There is a dressing over the incision, which is dry and. Radiological studies in the form of an x-ray revealed a comminuted fracture of the humeral head and neck. A CT scan of the left shoulder revealed a comminuted proximal humeral fracture which is impacted and a slightly angulated fracture component at the surgical neck, a slightly displaced fracture fragment at the greater tuberosity, and a subtle nondisplaced fracture at the lesser tuberosity

Case presentation: fracture open iii a, complete

85795682 19800479-case-study-fracture-1 - SlideShar

Case Example. A 33-year-old male was involved in a high-speed motorcycle accident and sustained multiple open injuries. He was taken to a local hospital and radiographic examination revealed a right-sided (open) complex distal femur fracture with bone loss and ipsilateral (open) mid-shaft tibia and fibula fracture Case Study: Explanation: A 34-year-old man presents to the emergency department after a motor vehicle accident with severe left hip pain and a lower extremity rotational deformity

Intertrochanteric fractures of the femur - SlideShar

  1. Stress fracture of the femoral neck in a child: a case report. J Pediatr Orthop B. 2013 Jan. 22 (1):45-8. . Blickenstaff LD, Morris JM. Fatigue fracture of the femoral neck. J Bone Joint Surg Am. 1966 Sep. 48 (6):1031-47. . Lehman RA Jr, Shah SA. Tension-sided femoral neck stress fracture in a skeletally immature patient. A case report
  2. uted. Adolescents have adult-like mechanism for femur fracture (high energy) and associated injuries are common. Treatment varies by age, weight, and fracture pattern
  3. The objective of this population-based case-control study was to identify risk factors for hip fracture among elderly women and men, particularly factors during young and middle adult life. The study base comprised people aged 65 years and over living in a defined region in Sydney, Australia, during 1990-1991
  4. Working in the essay writing business we understand how challenging it may be for students to write high quality essays. If you are misled and stalled while Hip Fracture Case Study Occupational Therapy writing your essay, our professional college essay writers can help you out to complete an excellent quality paper. In addition, we provide Hip Fracture Case Study Occupational Therapy Editing.
  5. Femoral neck fractures are a subset of proximal femoral fractures . The femoral neck is the weakest part of the femur. Since disruption of blood supply to the femoral head is dependent on the type of fracture and causes significant morbidity, the diagnosis and classification of these fractures is important. There are three types

Fracture shaft of femur - SlideShar

B: Diagonal fracture is not a type of fracture. A: Open fracture is one of the types of fractures. C: Closed fracture is one of the types of fractures. D: Comminuted fracture is one of the types of fractures. 2. Answer: C. X-ray. C: X-ray is the most definitive diagnostic tool in assessing for fracture as it allows visualization of the affected part. A: Blood studies are not used in a patient. Not all hip fractures are visible on the initial X-ray and follow-up imaging may be required if concern remains. Particular caution is required in the case of acutely confused patients. Remember to assess the surrounding pelvic bones. Fractures of the proximal femur or 'hip' are a common clinical occurrence in elderly, osteoporotic patients

Hip fractures - SlideShar

  1. This case study supports the importance of radiographic evaluation of a patient with hip and groin pain. 8 If initial radiographic results are normal and there is a strong clinical suspicion of a stress fracture, further imaging (eg, MRI) should be obtained. If the patient had sought medical evaluation at the first sign of hip discomfort and.
  2. Although the definition of atypical femoral fracture (AFF) excludes periprosthetic femoral fracture (PFF), the number of reports about PFF with characteristics of AFF is increasing. We present the case of such a fracture in this report. An 87-year-old woman who underwent bipolar hip arthroplasty for a femoral neck fracture 38 months prior reported left thigh pain with no history of trauma
  3. Femoral neck fractures (FNFs) are fractures of the flattened pyramidal bone connecting the femoral head and the femoral shaft. It is not so common in healthy individuals but common among athletes, military recruits, and young adults because of high energy cases such as sports and road traffic accidents, in adults due to falls, in women with estrogen imbalances, and in patients with bone.
  4. Case Study Who: 54-year-old female 12 weeks s/p pelvic ring fracture after falling off horse and subsequent ORIF. What: The AlterG Anti-Gravity Treadmill™ was used to help patient with safe, controlled progression towards Full WB'ing. Why: Body weight support allows for precise progressive loadin
  5. PURPOSE: The primary purpose of this case study was to describe the implementation of a conservative treatment protocol for dysplasia of the hip in a young girl in an attempt to prevent surgical intervention. A secondary objective of reducing femoral acetabular impingement was subsequently undertaken in the course of the case study
  6. Atypical femoral fractures (AFF) are a rare type of femoral stress fracture recently described, potentially associated with prolonged bisphosphonate therapy. Evidence-based recommendations regarding diagnosis and management of these fractures are scarce. The purpose of this study is to propose an algorithm for the diagnosis and management of AFF
  7. Hip fracture is a common case with the elderly in association with osteoporosis and falls. In the study of Leslie et al (2009), it was stated that the incidence of hip fractures is an index of osteoporosis burden with the majority of the costs is directly attributed to osteoporotic conditions

Femur Fracture Rehab & Recovery Time Case Study Alter

  1. imize the chances of infection. Infection interrupts with the healing process and in severe case even the limb may be required to surgically remove. Know the treatment for compound femur fracture and its recovery period and healing time
  2. uted fracture patterns appear in many cases. Conversely, atypical femoral fractures are relatively more commonly found in the subtrochanteric area with specific features .Atypical femoral fractures are primarily characterized by transverse or exhibit short oblique fracture configurations, non-com
  3. Following a hip fracture up to 60% of patients are unable to regain their pre-fracture level of mobility. For hospitalized older adults, the deconditioning effect of bedrest and functional decline has been identified as the most preventable cause of ambulation loss. Recent studies demonstrate that this older adult population spends greater than 80% of their time in bed during hospitalization.
  4. ution, whether circulation has been disturbed), (2) the adequacy of the reduction, and (3) the.
  5. The client receives the second dose and reports a pain rating of 1 to 2 in an hour. The nurse documents the response in the electronic health record. There are also non-pharmacological methods for reducing pain and improving comfort for clients with an incomplete hip fracture. Which prescriptions would the nurse expect to maintain for Ms. Black

The incidence of AFFs among 6644 hip and femoral fractures was 2.95%. Osteopenia or osteoporosis, use of BPs, rheumatoid arthritis, increased anterior and lateral femoral curvatures, and thicker lateral femoral cortex were independent risk factors for the development of AFFs. Patients with AFFs and Inclusion and Exclusion Criteria The present study determined 48 patients to be eligible for the present study. [onlinelibrary.wiley.com] This article presents a case of femoral corrective osteotomy for malunited supracondylar femoral fracture after TKA in a patient with rheumatoid arthritis. [healio.com Fracture Case Study Slideshare, essay about effectiveness and efficiency, example outline for case study paper, what is the minimum words on a college essa Case Study On Fracture Slideshare are going to pay for essay, make sure that you Case Study On Fracture Slideshare are paying quality writers as only quality writers can prove to you that hiring Case Study On Fracture Slideshare a writing service is a cost-worthy move and a decision that you will never regret. Knowledge and training Kaela Lind 1729 Clinicals Candance Johnson 7/7/20 Case Study 37 Fractured Femur with Postoperative Complications M.M ., a 76-year-old retired schoolteacher, is postoperative day 2 after an open reduction and internal fixation (ORIF) for a fracture of his right femur. His preoperative control prothrombin time/international normalized ratio (PT/INR) was 11 sec/1.0 and his activated partial.

Orthopaedic Knowledge: Case Study - Femoral Neck Fracture

The patient suffered from right open comminuted distal femoral fracture and tibial plateau fracture and left closed comminuted femoral shaft fracture. Treatment Day 1: Irrigation and debridement of the right femur was carried out along with placement of a large external fixator bridge for temporary stabilization The fracture was a transverse fracture which means there was a break in 1 or more transverse process. These are wing-like bones on the right and left side of each vertebra in the spine. In Ella's case this was a break straight across her tibia Background Studies show conflicting results regarding the possible excess risk of atypical fractures of the femoral shaft associated with bisphosphonate use. Methods In Sweden, 12,777 women 55 year.. of this study is to investigate the effect of PRP on non-union femur fracture in a dog. This is a case of a 3 year old mongrel dog with femur fracture. Following unsuccessful treatment of the fracture with dynamic compres-sion plate and external bone fixation, PRP was injected through the skin three times every 10 days in the regio

A study was performed to assess the impact of intensive inpatient rehabilitation on the outcome after a fracture of the femoral neck or an intertrochanteric fracture

(DOC) Topic: Implemented nursing care plan of Elderly

Case Study. Physical exam reveals that Mrs. Damerae's right leg is shorter than her left leg and her right leg is externally rotated. There is bruising of her right hip. An X-ray con-firms that Mrs. Damerae has an extracapsular fracture of the trochanter region of her right hip. Mrs. Damerae will have an open reduction of the fracture and. In this study, a two-level, subject-specific biomechanical model composed of a whole-body dynamics model and a proximal femur finite element model was used to predict the hip fracture risk for 80.

A typical bilateral femoral fracture: A case repor

Fairclough J, Colhoun E, Johnston D, Williams LA. Bone scanning for suspected hip fractures. A prospective study in elderly patients. J Bone Joint Surg Br. 1987 Mar. 69(2):251-3. . . Figved W, Opland V, Frihagen F, et al. Cemented versus uncemented hemiarthroplasty for displaced femoral neck fractures Fracture Case Study Slideshare This choice should Fracture Case Study Slideshare be up to you! With us Fracture Case Study Slideshare you are in control. You tell us how you want your college assignment to be done and we listen to all instructions and work on the paper according to them Case 1* • 72-year-old female • Fracture AO 31A3 fracture (transverse intertrochanteric fracture pattern) which is unstable and would benefit from a cephalomedullary device. A short or a long nail would be sufficient in this case. A long nail was chosen to protect the entire femur from future fracture that could presumabl

It doesn't matter whether Neck Of Femur Fracture Case Study you need your paper done in a week or by tomorrow - either way, we'll be able to meet these deadlines. Moreover, it won't affect Neck Of Femur Fracture Case Study the quality of a paper: our writers are able to write quickly and meet the deadlines not because they do it half-heartedly but because they are very experienced in this Abstract: Femoral fractures in pregnancy are a rare complication, with an incidence of approximately 1%. Case reports and small trials leave perioperative obstetric management and route of delivery largely unclear. Three cases of femoral fracture are presented that occurred at 24, 30, and 31 weeks of gestation Severe dementia is a life-limiting condition; hip fractures are more common in patients who have dementia. This study outlines the case of a 92-year-old female with severe dementia who sustained a hip fracture. Despite having a terminal diagnosis (severe dementia and hip fracture) and poor premorbid quality of life, she had a life-prolonging. Case Study #35 Essay example 1330 Words | 6 Pages. Case Study #35Case Study #35Scenario S.P. is admitted to the orthopedic ward. She has fallen at home and she has sustained an intracapsular fracture of the hip at the femoral neck. The following history is obtained from her: She is a 75-year-old widow with three children living nearby A retrospective study of 420 acute hip fracture patients found that only 37% received calcium, 36% received vitamin D, and 31% received a bisphosphonate on discharge. 24 A prospective study of 1,075 women with new osteoporotic fractures found that only 17% had started anti-osteoporosis medications at one year. 2

End Stage Copd Nursing Care - COPD Blog f

Femoral neck fractures in young populations are usually caused by high-energy trauma. 1 Non-traumatic femoral neck fractures have also been reported in young athletes and military personnel due to stress fractures. 2,3 The risk of fracture displacement increases with delayed diagnosis, as with the increased risk of nonunion and a vascular necrosis (AVN) PRESENTATION OF CASE. A 44-year-old man presented to emergency department after a motor vehicle accident. Bilateral intertrochanteric femur fractures (OTA classification - 31A.1.2) and bilateral femoral diaphyseal fractures (OTA classification - 32A.2) and nondisplaced right proximal tibial fracture (OTA classification - 41B.1) were determined in radiographs

[성인간호학][대퇴골두무혈성괴사][avascular necrosis of the femoral head

Distal Femur Fractures - Trauma - Orthobullet

The following describes the use of ViviGen to treat a challenging open femur fracture case: Patient • A 19 year-old patient • Involved in a motorcycle accident • Presented with an open, midshaft, left femur fracture with bone loss (Fig 1) • Previously underwent irrigation debridement and primary wound closure and stabilization with a Background Hip fractures are common in patients with advanced dementia, and many experts advocate that they be considered a sentinel 'palliative' event due to their strong association with reductions in quality of life and 1-year survival.Management decisions are often complicated due to the need for quick decisions by surrogates, involving multiple surgical and non-surgical options, often.

Femu

a hip fracture. Strength of Recommendation: Moderate. Description: Evidence from two or more Moderate strength studies with consistent findings, or evidence from a single High quality study for recommending for or against the intervention. SURGICAL TIMING . Moderate evidence supports that hip fracture surgery within 48 hours of. Case Studies. Kyphoplasty is procedure for treating painful compression fractures. With kyphoplasty, a needle is inserted into a vertebral body and under careful X-ray guidance small balloons are directed into the bone. The balloons are then inflated in small increments until certain endpoints are reached. The balloons are then deflated and. These fractures are at high risk for AVN (12% to 33%) [5,30,31] and nonunion (15% to 33%) [5,30,31] In healthy, active patients the treatment of choice is anatomical reduction, which must be achieved for a good result, with internal fixation. Femoral neck fractures reduced anatomically are best fixed with 3 pins or screws PREOPERATIVE DIAGNOSIS: Displaced fracture, the distal end of radius on the left side. POSTOPERATIVE DIAGNOSIS: Displaced fracture, the distal end of radius on the left side. OPERATION: Open reduction and internal fixation of the distal end of radius with plate and screws. DESCRIPTION OF PROCEDURE: The patient was taken to the operating room where she was placed on a well-padded operating room.

Femoral Shaft Fractures - Pediatric - Pediatrics

A study of 1193 older hip fracture patients conducted at 6 hospitals in the Limburg trauma region of the Netherlands concluded that the use of a multidisciplinary clinical pathways (MCP) for patients with hip fractures tends to be more effective than usual care (UC) A case study of Left Hip Periprosthetic Fracture from the doctors at Complete Orthopedics, with multiple locations in NY. (631) 981-2663. Search for: About. Our Office; CT scan and X-ray of the left hip revealed a nondisplaced periprosthetic fracture of the proximal femur anteromedially with subsidence of the stem INTRODUCTION. The femur is the longest, strongest, and heaviest tubular bone in the human body and one of the principal load bearing bones in the lower extremity [].Fractures of the femoral shaft often result from high energy forces such as motor vehicle collisions [].Complications and injuries associated with midshaft femur fractures in the adult can be life-threatening and may include. Case. Atypical fracture patterns, especially to the femur midshaft, have begun emerging since long-term bisphosphonate use was introduced. The same fracture pattern could arise around prosthetic hip implant, but the literature reports few cases regarding atypical periprosthetic femur fracture on previous total hip arthroplasty implant in patients on long-term bisphosphonate therapy

Femur Injuries and Fractures Clinical Presentation

Intertrochanteric femur fractures are extracapsular fractures of the proximal femur at the level of the greater and lesser trochanter, most commonly seen following ground level falls in the elderly population. Diagnosis is made with orthogonal radiographs of the hip in patients that present with inability to bear weight Name Kaylynn Buckner Date 3/26/2020 Nursing 220 Case Study Case Study 38 Fractured Femur Difficulty: Intermediate Setting: Hospital Index Words: trauma, fracture, perioperative care, wound care, assessment Scenario J.F., a 67-year-old woman, was involved in an auto accident and is life-flighted to your facility. She sustained a ruptured spleen, fractured pelvis, and compound fractures of the. HESI Case Study: Compound Fracture (Preschooler)-Madison. Mometrix. Get Quizlet's official HESI A2 - 355 terms, 518 practice questions, 3 full practice tests. Preview

2015: Case Studies in Osteoporosis-Kado

3 dimensional CT reconstructions. Fracture surgery was performed using an ilioinguinal approach. The fracture was reduced and stabilized using a contoured 10-hole pelvic reconstruction plate and screws and placement of a spring plate along the anterior wall fracture. Postoperative CT scan images (right images) illustrate an adequate reduction Most femoral shaft fractures require surgery to heal. It is unusual for femoral shaft fractures to be treated without surgery. Very young children are sometimes treated with a cast. Most femur fractures are fixed within 24 to 48 hours. Sometimes it will be delayed until other life-threatening injuries or unstable medical conditions are stabilized Bisphosphonates help prevent progressive bone mineralization loss and subsequent osteoporotic fractures. However, long-term bisphosphonate therapy paradoxically increases the risk of a unique injury called an atypical subtrochanteric femur fracture. Despite this, the benefits of bisphosphonates outweigh the risks, because far more pathologic fractures are prevented than induced