Femoral shaft fractures are
usually the result of a high-energy injuries. It is estimated that annually
between 1.0 and 2.9 million femoral shaft fractures occur worldwide. In
high-income countries the annual incidence of femoral shaft fractures ranges
between 8.2 and 23.9 per 100,000 people.
In particular, musculoskeletal
injuries to the ipsilateral limb, such as hip fractures, patella fractures,
tibial plateau fractures, and ligamentous
knee injuries have been reported to commonly occur in conjunction with
high-energy femoral shaft fracture.
Rodriguez-Merchan et al. reported
on 150 femoral shaft fractures and observed temporary neurologic deficits in 10
patients. A few case reports have reported on injuries to the sciatic nerve
associated with femoral shaft fractures.
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