• D Schneidmueller, C Kraft, V Bühren, and L von Laer.
• Abteilung für Unfallchirurgie, Sportorthopädie und Kindertraumatologie, BGU Murnau,Klinikum Garmisch-Partenkirchen, Prof.-Küntscher-Str. 8, 82418, Murnau, Deutschland, dorien.schneidmueller@bgu-murnau.de.
• Unfallchirurg. 2014 Dec 1;117(12):1099-104.

BackgroundThe treatment of femoral shaft fractures has increasingly become a domain of surgical therapy. On the one hand the possibilities of spontaneous correction of shaft axis deviation and rotation are limited and on the other hand leg length differences are often observed as a result of shaft fractures, which can lead to relevant consequences for spinal and pelvic statics.ObjectivesIs there a benefit from the increasing trend towards surgical therapy and what treatment options are currently available for the treatment of femoral shaft fractures?Material And MethodsAnalysis of treatment recommendations and a literature search of the last decades.Results And DiscussionNewly developed implants currently provide a variety of methods for osteosynthesis for each age group and each fracture type. This allows a better fracture, weight and age adjusted retention of fractures with increased stability and a lower risk of post-traumatic leg length differences. Secondary effects are prompt mobilization and reintegration in the social environment of patients and hence a better achievement of their own therapeutic goals.

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