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Skeletal traction
3%
17/557
Temporizing external fixation
18%
98/557
Reamed intramedullary nailing
71%
398/557
Unreamed intramedullary nailing
5%
29/557
Open reduction and internal fixation
1%
8/557
Select Answer to see Preferred Response
The patient responded to crystalloid resuscitation and hemodynamic parameters and the base deficit indicate that he is adequately resuscitated for definitive fracture care. In a resuscitated patient, a reamed nail is not detrimental in the setting of a pulmonary injury and is favorable for fracture union. An unreamed nail has a higher nonunion rate than a reamed nail for femoral fractures. In a skeletally mature patient with a midshaft fracture, an intramedullary nail is preferred to open reduction and internal fixation. In an adult patient, skeletal traction should be considered only as a temporary treatment prior to surgical fixation of the femoral fracture.
2.4
(29)
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