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Orthopedics & Trauma Case Report #OR-2026-07

Biological Open Reduction & Internal Fixation of Complex Comminuted Femoral Shaft Fracture

Lead Surgeon: Dr. N. Rajkumar (MBBS, MS Ortho, DNB, MNAMS)

Patient History & Presentation

A 26-year-old male victim of a road traffic accident sustained a closed Winquist Type III comminuted mid-shaft left femur fracture.

Surgical Approach

Closed intramedullary interlocking reamed nailing was executed under fluoroscopic control (C-arm) preserving fracture hematoma and periosteal blood supply.

Clinical Outcome & Follow-Up

Partial weight-bearing walking achieved at 3 weeks with crutches. Full cortical bridging callus observed at 12 weeks with 100% limb length equality and full knee extension.