Orthopedic Board Prep: Intramedullary Nailing MCQs & Surgical Concepts

Key Takeaway

For a hemodynamically stable patient with a comminuted mid-shaft femoral fracture, immediate reamed intramedullary nailing is generally the preferred surgical approach. Reaming optimizes the medullary canal for a larger nail, enhancing bending and torsional stiffness. This method ensures superior biomechanical stability and promotes higher rates of fracture union, crucial for optimal recovery.