Population
Adults with femoral shaft fractures. Excludes children or adolescents.
Comparison
Medullary fixation (medullary nail) vs Older and more orthodox forms of treatment
Design
Review
Authors
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May support medullary fixation in select femoral shaft fractures with strict indications; leaves open need for prospective validation.
Medullary fixation is a sound therapy for specific femoral shaft fractures in adults, offering advantages like early ambulation, but requires strict adherence to indications and preoperative planning to avoid complications.
Hugh M. Smith (1953) studied this question.
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