Diaphyseal femur fractures are commonly encountered in association with other high-energy injuries. These injuries can lead to life-threatening sequelae. Prompt intervention and thoughtful management lead to the best patient outcomes. Unlike in the past when these fractures were managed with only splints, today intramedullary (IM) nailing is the mainstay of treatment. Pediatric patients are managed with flexible rods to allow for bone growth.
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