© Copyright 2026 American Medical Association. All rights reserved.
Open treatment of a femoral shaft fracture involves a surgical procedure aimed at stabilizing a fracture located in the shaft of the femur, which is the long bone in the thigh. This procedure is typically indicated when a fracture is displaced or unstable, necessitating surgical intervention to ensure proper alignment and healing. The treatment utilizes a plate and screws to secure the bone fragments together, which may be supplemented with cerclage wire for additional support. The surgical approach requires making an incision over the fracture site to access the bone directly. Once the fracture is exposed, any debris is cleared away to facilitate proper alignment and stabilization. The use of traction or a femoral distraction device may be employed to help reduce the fracture, ensuring that the bone fragments are properly aligned before the plate is applied. The selected plate is then positioned across the fracture and secured with screws, providing a stable construct that allows for optimal healing of the femur. This method is essential for restoring the function of the leg and preventing complications associated with improper healing of the fracture.
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