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