The femur is the longest, heaviest, and strongest bone in the body, forming the thigh between the hip and knee joints. Its head, neck, and greater and lesser trochanters are clinically critical for hip fracture assessment, particularly in elderly individuals.
The longest, heaviest bone in the body. Hip fractures (femoral neck and intertrochanteric) in the elderly carry 20 to 30 percent one-year mortality. Femoral neck fractures disrupt the retinacular blood supply, risking AVN — Garden classification grades displacement and AVN risk. Femoral shaft fractures require significant force and are treated with intramedullary nailing. Distal femur fractures involving the articular surface require CT planning and anatomical fixation. Stress fractures of the femoral neck medial cortex are high-risk fractures requiring prophylactic pinning to prevent complete displaced fracture.
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