How Is It Done?
To help your doctor diagnose your specific fracture, it’s important that they know the ins and outs of your injury. Prior to surgery your doctor will conduct multiple medical history and physical examinations, as well as X-rays and CT scans. If skin around your fracture is not lacerated, your surgeon will wait until you’re stable before operating. In the event of an open fracture, surgery is required within 8 hours of the injury. Prior to realigning the fracture, exposed tissue and bone must be thoroughly cleaned and antibiotics are provided to help avoid infection.
Multiple methods might be utilized by your surgeon in repairing a femur fracture, depending on the severity and the type of fracture being operated on. The most common method used by orthopedic surgeons is known as intramedullary nailing. During this procedure, a long metal rod is inserted into the marrow canal of the femur. From the inside, this rod extends through the full length of the bone, including the fractured portion. Then, using titanium screws, the rod is screwed into position at each far end of the femur. This keeps the metal rod and the connected bone held into position until the fracture can properly heal. Other surgical procedures typically involve an incision that allows direct access to the broken portion of bone. After repositioning the fracture, metal plates and screws are used to hold the bone in a correct position while it heals.
Most doctors will encourage early leg motion and weight-bearing activity during recovery. Physical therapy programs help rebuild strength in damaged muscle tissue and can drastically improve mobility. Most femur fractures heal completely in 6-8 months.