Femoral Shaft Fractures
Epidemiology
Usually young patients
- 15 - 40
15% compound
Aetiology
High velocity injury
- MBA
- MVA
- pedestrian v car
- fall from height
Emergency Managment
EMST principles
- need for transfusion not uncommon
infected nonunion
Midshaft Tibial Fracture
Epidemiology
Most common long bone fracture
Aetiology
Young patients / sports
Elderly / simple falls
MVA - often compound
Tscherne Soft Tissue Classification
Grade 0
- nil ST injury
Grade 1
Both bone forearm fracture
Anatomy
Radial bow radius
- important for rotation
Interosseous membrane
- Z pattern
- proximal radius to distal ulna
Mechanism
Direct blow
- ulna / night stick
