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For femoral shaft fractures, reduction and intramedullary nailing is currently recommended. [14] The bone is re-aligned, then a metal rod is placed into the femoral bone marrow, and secured with nails at either end. This method offers less exposure, a 98–99% union rate, lower infection rates (1–2%) and less muscular scarring. [14] [15] [17]
The lower extremity of the femur (or distal extremity) is the thickest femoral extremity, the upper extremity is the shortest femoral extremity. It is somewhat cuboid in form, but its transverse diameter is greater than its antero-posterior (front to back). It consists of two oblong eminences known as the condyles. [3]
The lower extremity of femur (or distal extremity) is the lower end of the femur (thigh bone) in human and other animals, closer to the knee. It is larger than the upper extremity of femur, is somewhat cuboid in form, but its transverse diameter is greater than its antero-posterior; it consists of two oblong eminences known as the lateral condyle and medial condyle.
The other two borders of the femur are only slightly marked: the lateral border extends from the antero-inferior angle of the greater trochanter to the anterior extremity of the lateral condyle; the medial border from the intertrochanteric line, at a point opposite the lesser trochanter, to the anterior extremity of the medial condyle.
Bones are commonly described with the terms head, neck, shaft, body and base. The head of a bone usually refers to the distal end of the bone. The shaft refers to the elongated sections of long bone, and the neck the segment between the head and shaft (or body). The end of the long bone opposite to the head is known as the base.
The head of the femur is connected to the shaft through the neck or collum. The neck is 4–5 cm. long and the diameter is smallest front to back and compressed at its middle. The collum forms an angle with the shaft in about 130 degrees. This angle is highly variant. In the infant it is about 150 degrees and in old age reduced to 120 degrees ...
Its wide belly divides into two parts: One is inserted into the Linea aspera and the tendon of the other reaches down to adductor tubercle on the medial side of the femur's distal end where it forms an intermuscular septum that separates the flexors from the extensors. Magnus is a powerful adductor, especially active when crossing legs.
Above, the linea aspera is prolonged by three ridges. The lateral ridge is very rough, and runs almost vertically upward to the base of the greater trochanter.It is termed the gluteal tuberosity, and gives attachment to part of the gluteus maximus: its upper part is often elongated into a roughened crest, on which a more or less well-marked, rounded tubercle, the third trochanter, is ...