Orthopedist Questions Femur fracture

What is the best course of treatment for femur fracture?

I had a femur fracture due to an accident. Within 24 hours I got a nail insertion. What is the further course of treatment?

13 Answers

No further treatment for the fracture if the bone properly heals. It can take up to 3-4 months to fully heal though. PT is usually needed to help strengthen your muscles following that type of fracture. You should eventually be able to go back to everything you enjoy doing in time. Most importantly DON’T SMOKE ! Smoking slows bone healing and could lead to a non-Union which means tone isn’t healing and will require further surgery. Good luck !
modified weight bearing and later physical therapy
It depends on the fracture but typically ambulatoon with weight bearing as instructed by your surgeon follows with gradual return to activities of daily living in the first 3 months and athletic activities after 6 months
You need continued observation with follow-up x-rays with your surgeon. You will need physical therapy post surgery to restore function.
Exercise to rebuild the muscles and physiotherapy to regain range of movement of hip and knee.
You had the appropriate surgery. Now it is a matter of waiting for the fracture to heal and then doing your prescribed physical therapy to regain your hip and knee motion and muscle strength.
In general, in adults, most femur fractures are treated surgically, and usually with a rod inserted into the femur. Less frequently, a plate and screws can be used. Plates and screws are sometimes used in distal femur fractures (close to the knee). In younger kids, casting is sometimes used, sometimes with flexible nails to help hold the fracture alignment. A rod is often used in teenagers as well. Hope this helps!

Depending on the location of the fracture, an intramedullary nail is the proper course of treatment. There is minimal exposure of the good muscles and then you can be out of
bed the next day. Then, based on the protocol of the surgeon, you will be started on physical therapy and sent to a rehab center.
The doctors did the correct thing. Follow their instructions and let it heal. It will take 2-3 months. Probably OK to do quad exercises, but make sure because not all femur fractures are treated exactly the same!

Dr. Bose
Hello, very sorry to hear that you fractured your femur. The treatment you received is quite typical and in most cases successful. Specifics of your treatment will be determined by your operative surgeon. Typically there is a period of limited weight-bearing. Usually some physical therapy is recommended to regain motion of the knee and hip. I recommend you discuss this with your operative surgeon as the timing can vary according to the surgeon’s wishes and the type of fracture. I am confident you will do well.
Begin crutch walking ambulation. Keep the hip and knee moving. Listen to your doc about weight bearing.
An IM rod or plate if the fracture occurred at the distal femur.
The fracture will still take at least 3 months to heal, starting with partial weight bearing and physical therapy. May need a bone stimulator to speed up the healing.