Even with good surgical cleaning of the bone and muscle, the bone can become infected. Open fractures expose the bone to the outside environment.During the procedure, your surgeon makes incisions in your skin and the muscle coverings to relieve the pressure. Unless the pressure is relieved quickly, permanent disability may result. This pressure can decrease blood flow, which prevents nourishment and oxygen from reaching nerve and muscle cells. This is a painful condition that occurs when pressure within the muscles builds to dangerous levels. Acute compartment syndrome may develop.The ends of broken bones are often sharp and can cut or tear surrounding blood vessels or nerves, though this is very rare.In adolescents, motor vehicle accidents (either in cars, bicycles, or as a pedestrian) are responsible for the vast majority of femoral shaft fractures.Įvents with the highest risk for pediatric femur fractures include:Ĭomplications from femoral shaft fracturesįemoral shaft fractures can cause further injury and complications. Child abuse is also a leading cause of thighbone fracture in children between the ages of 1 and 4 years, but the incidence is much less in this age group. The most common cause of femoral shaft fractures in infants under 1 year old is child abuse. Being hit by a car while walking is another common cause, as are falls from heights and gunshot wounds.Ī lower-force incident, such as a fall from standing, may cause a femoral shaft fracture in an older person who has weaker bones. ![]() ![]() The most common cause of femoral shaft fracture is a motor vehicle or motorcycle crash. Spiral fracture femurįemoral shaft fractures in young people are frequently due to some type of high-energy collision. A fall, a motor vehicle accident, or a tackle during a football game can all result in fractures. ![]() You can gain them back in the affected limb through exercise and various other treatments.The most common cause of spiral fractures is trauma. Because of wearing a cast, you’ll likely lose some strength and range of motion. Physical therapy can be another important part of healing your fracture. As a result, acetaminophen with codeine is more commonly prescribed. Ibuprofen (Advil) and other nonsteroidal anti-inflammatory drugs have been shown to slow down the healing process. It will be removed after a period of a few weeks.Įspecially in the case of surgery, recovery can be rather painful. Recovery from surgeryĪfter an open reduction surgery, a cast is usually applied to the limb. Your doctor then realigns the broken bone and sets it in place with either rods, pins, or screws, all of which can be permanent or temporary. For example, if there is damage to the surrounding muscles or blood vessels, your doctor also evaluates and treat these injuries. Next, your doctor opens up the affected area to set the parts of the bone in place.ĭuring the operation, your doctor continues to assess the severity of the injury. In this procedure, you are put under general anesthesia. Your doctor will perform what is known as an open reduction surgery. Treatment for a displaced spiral fractureīecause of the jagged bones that characterize a displaced spiral fracture, more often than not surgery is required for treatment. A stable fracture is generally more common in children. If the spiral fracture is stable, treatment will usually involve keeping the bone immobilized with a cast for a period of four to six weeks. For these reasons, treatment will depend on the severity of the break and whether the bone is displaced or stable. It’s also possible that the injury results in detached bone fragments, which can make treatment even more difficult. ![]() Because of the way in which a spiral fracture occurs, the resulting broken bone usually has jagged edges.
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