No article notes available at this time.
• Gives concrete outcome data supporting a damage-control strategy for femoral shaft fractures in patients too unstable for immediate IM nailing, or those needing rapid stabilization before vascular repair. • The 97% union rate and 1.7% infection rate provide reassurance that staged external fixation followed by conversion does not compromise fracture healing or carry a high infection risk, even though prior concern existed about pin-tract contamination complicating later nail fixation. • Helps residents understand that timing of conversion (average 7 days) and mode of conversion (mostly single-stage) are both feasible, with reoperation for malrotation or knee stiffness as the main technical pitfalls to anticipate.
No article notes available at this time.
• Gives concrete outcome data supporting a damage-control strategy for femoral shaft fractures in patients too unstable for immediate IM nailing, or those needing rapid stabilization before vascular repair. • The 97% union rate and 1.7% infection rate provide reassurance that staged external fixation followed by conversion does not compromise fracture healing or carry a high infection risk, even though prior concern existed about pin-tract contamination complicating later nail fixation. • Helps residents understand that timing of conversion (average 7 days) and mode of conversion (mostly single-stage) are both feasible, with reoperation for malrotation or knee stiffness as the main technical pitfalls to anticipate.