{"title":"Triple-Segmental Shaft Femur Fracture: A Case Report.","authors":"Sankalp Lal, Amit Kumar Jha, Prabhanjan Agrawal, Ashish Kumar, Divesh Jalan, Deepak Sharma","doi":"10.13107/jocr.2025.v15.i09.6048","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Segmental femur fractures, an uncommon injury pattern, are usually caused by high-energy trauma such as road traffic accidents. Despite their complexity, early intervention is essential for maximising recovery and reducing complications.</p><p><strong>Case report: </strong>A 34-year-old male presented with multiple fractures, including a triple-segmental shaft femur fracture, following a high-energy road traffic accident. An intramedullary nail was used for closed reduction and internal fixation of the femur fracture, which provided stable fixation while preserving the blood supply and minimising soft-tissue damage.</p><p><strong>Conclusion: </strong>When treating complicated femur fractures, intramedullary nailing should be preferred because it minimises soft-tissue damage while offering stable fixation. It promotes early mobilisation and optimal healing, even with multiple fracture segments.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 9","pages":"149-153"},"PeriodicalIF":0.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12422692/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Orthopaedic Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.13107/jocr.2025.v15.i09.6048","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
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Abstract
Introduction: Segmental femur fractures, an uncommon injury pattern, are usually caused by high-energy trauma such as road traffic accidents. Despite their complexity, early intervention is essential for maximising recovery and reducing complications.
Case report: A 34-year-old male presented with multiple fractures, including a triple-segmental shaft femur fracture, following a high-energy road traffic accident. An intramedullary nail was used for closed reduction and internal fixation of the femur fracture, which provided stable fixation while preserving the blood supply and minimising soft-tissue damage.
Conclusion: When treating complicated femur fractures, intramedullary nailing should be preferred because it minimises soft-tissue damage while offering stable fixation. It promotes early mobilisation and optimal healing, even with multiple fracture segments.
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