_._._._No femoral neck fracture on fin(.jpg)
_._._._No femoral neck fracture on fi_2.jpg)
_._._._No femoral neck fracture on fi_1.jpg)
_._._._No femoral neck fracture on fi_3.jpg)
_._._._No femoral neck fracture on fi_4.jpg)
_._._._No femoral neck fracture on fi_7.jpg)
_._._._No femoral neck fracture on fi_5.jpg)
_._._._No femoral neck fracture on fi_6.jpg)
 that need to be fixe_3.jpg)
 that need to be fixe_4.jpg)
 that need to be fixed(.jpg)
 that need to be fixe_1.jpg)
 that need to be fixe_2.jpg)
AO/OTA 33-C2 Femoral Shaft Fracture with Articular Involvement
Score and Comment on this Case
Clinical Details
Clinical and radiological findings: A 29-year-old male involved in a motorcycle collision with a deer presented with normal vital signs and a lactate level of 1.8 mmol/L, indicating stable hemodynamics. The patient did not sustain major head, chest, or abdominal trauma and was deemed ready for operative intervention. Fine cut CT imaging confirmed the absence of a femoral neck fracture.
Preoperative Plan
Planning remarks: The preoperative plan involved direct exposure of the articular component for anatomic reduction using clamp techniques, followed by interfragmentary compression with lag screws. The metaphyseal and diaphyseal components were to be managed with relative stability, focusing on restoring length, alignment, and rotation using a relatively stable implant.
Surgical Discussion
Patient positioning: Supine positioning on a radiolucent table to facilitate intraoperative imaging and access to the femur.
Anatomical surgical approach: A lateral approach to the femur was utilized, involving an incision along the lateral aspect of the thigh. Subvastus or direct lateral dissection was performed to expose the femoral shaft and articular surface. Careful soft tissue handling was maintained to preserve vascularity.
Operative remarks:The surgeon emphasized the importance of planning for primary versus secondary healing, with the articular component receiving absolute stability through direct reduction and compression techniques. The diaphyseal fracture was managed with relative stability, ensuring proper mechanical alignment while respecting biological principles.
Postoperative protocol: Postoperative rehabilitation included early mobilization with toe-touch weight bearing (TTWB) for 6 weeks, progressing to partial weight bearing (PWB) as tolerated, and full weight bearing (FWB) by 12 weeks postoperatively.
Follow up: Not specified
Orthopaedic implants used: Lag screws for interfragmentary compression, relative stability implant (e.g., intramedullary nail or plate).
Search for Related Literature
orthopaedic_trauma
- United States , Seattle
- Area of Specialty - General Trauma
- Position - Specialist Consultant
Industry Sponsership
contact us for advertising opportunities
Article viewed 37 times
18 Jul 2025
Add to Bookmarks
Full Citation
Cite this article:
Surname, Initial. (2025). AO/OTA 33-C2 Femoral Shaft Fracture with Articular Involvement. Journal of Orthopaedic Surgery and Traumatology. Case Report 35846237 Published Online Jul 18 2025.