External fixation: If internal fixation is not an option, metal pins can be inserted through skin into the fractured bone. These pins are attached to a bar that sits outside the skin on the child's thigh. The pins and bar hold the bone fragments in place and the bone in alignment while it heals. Intramedullary nails or rods: The surgeon may make small incisions in the skin and insert nails into the bone.
The nails realign the bone and hold it in place while still allowing growth and natural remodeling. Our pediatric expertise allows for precise diagnosis of conditions related to the growing musculoskeletal system and development of optimal care plans.
Our Orthopedic Urgent Care Clinic treats patients with orthopedic injuries that require prompt medical attention but are not serious enough to need emergency room care. We offer urgent care services in four locations — Boston , Waltham , Peabody , and Weymouth. For Patients. Contact the Lower Extremity Program International Broken Femur Thighbone. What is a broken femur? Where is the femur? What are the different types of femur fractures?
A proximal femur fracture hip fracture is a break in the uppermost part of thighbone, next to the hip joint. A femoral shaft fracture is a break in the middle of the bone or narrow part of the femur. This type of fracture almost always requires treatment in the operating room. A supracondylar femur fracture is a break just above the knee joint and commonly occurs when the foot is planted and force is placed on the leg above the knee. A significant amount of energy is required to cause a femur fracture, most commonly after a car accident, motorcycle accident, fall from a height, or injury from a high-speed activity such as skiing or biking.
Sometimes these other injuries can be severe or even life-threatening. Sometimes paramedics or first responders will place a temporary metal brace, straps, or pillows around your injured leg to stabilize it and make it hurt less.
Once you arrive at the hospital, emergency room doctors will carefully examine your whole body to look for other injuries. Several x-rays will be taken, and many times, your doctors will need to get a CT scan of other body parts. If this is the case, doctors may put something called a "traction pin" into your leg bone above or below your knee and connect this pin to a rope with weights. This is done at the bedside under local numbing medicine.
The weights can help to temporarily line up the broken ends of the bone, which can help your leg feel better before surgery. Femur fractures almost always require surgery. The most common way to stabilize or "fix" your broken femur is to place a metal rod, called an "intramedullary nail" "IM nail" for short inside the hollow center tube of your femur. Based on factors including other injuries you may have, doctors may choose to put the rod into your femur from the top of the bone near your hip or from the bottom of the bone near your knee.
Typically, one or more screws will be placed through holes in the rod above and below the fracture. Because the rod and screws are placed using x-ray guidance, doctors can usually perform the surgery through several small incisions cuts in your skin.
The rod and screws will stabilize your broken femur, and often you will be allowed to put weight on your injured leg right after surgery. This decision will be made by your surgeon. The most common reason for this is the presence of hardware in your femur, such as a hip replacement or knee replacement. Sometimes, doctors may need to temporarily stabilize your femur fracture with something called an external fixator.
This procedure will be performed in the operating room, and involves placing metal pins through the skin and into the bone above and below the fracture. Surgical treatment of pathological fractures occurring at the proximal femur.
Yonsei Med J. American Academy of Orthopaedic Surgeons. Hip Fractures. Femur Shaft Fractures Broken Thighbone. Reviewed May Distal Femur Thighbone Fractures of the Knee. Reviewed June Your Privacy Rights. To change or withdraw your consent choices for VerywellHealth.
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