Management of femur shaft fractures in obese patients

Philipp N. Streubel, Michael J. Gardner, William M. Ricci

Research output: Contribution to journalReview article

7 Scopus citations

Abstract

Given the ongoing epidemic of obesity, femoral fracture management in the population affected by this condition is likely to become more frequent. Fracture treatment in obese patients poses a special challenge given greater difficulty in establishing an accurate diagnosis and confirming associated injuries. Adequate intraoperative positioning and obtaining accurate reduction and stable fixation may require special considerations. Obese patients have a high predisposition for complications such as compartment syndrome, nerve injuries, and pressure ulcers, and are at increased risk for medical complications given the high prevalence of comorbidities. A thorough understanding of the risks associated with obesity and the diagnostic and therapeutic challenges involved with femoral shaft fractures in this setting is paramount to achieve adequate results.

Original languageEnglish (US)
Pages (from-to)21-35
Number of pages15
JournalOrthopedic Clinics of North America
Volume42
Issue number1
DOIs
StatePublished - Jan 2011

Keywords

  • Femur fracture
  • Intramedullary nailing
  • Obesity
  • Outcomes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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