This case involved a femur fracture and ankle fracture! (both fractures on the same leg).
Femoral shaft fractures can result from high or low-energy mechanisms and are often associated with other serious injuries. The most common causes include automobile accidents, falls from heights, ground-level falls in individuals with osteoporosis, and gunshots.
Trauma is typically involving a direct hit to the thigh or an indirect force transmitted through the knee.
Operative fixation with intramedullary nailing is the best option to ensure the unity of the less severe fracture. External fixation is used in more extensive cases.
In severe open femur fracture cases patients might need a surgery called open reduction and internal fixation (ORIF) in order to bring the bones back into place and help them heal.
Screws, plates, sutures, or rods are used to hold the broken bone together to ensure the bone stays aligned while healing. “Open reduction” means surgery is needed to realign the bone fracture into the normal position. “Internal fixation” refers to the steel rods, screws, or plates used to keep the bone fracture stable in order to heal the right way and to help prevent infection.
Under general anaesthesia, an incision is made at the site of the break or injury, and the fracture is carefully re-aligned or the joint replaced. The hardware is installed, and the incision is closed with staples or stitches. The steel rods, screws, or plates can be permanent, or temporary and removed when healing takes place. Once the open reduction internal fixation is performed, a cast is usually applied.