EC Orthopaedics

Femoral shaft fractures are commonly observed injuries that often occur in conjunction with polytrauma, leading to a range of complications that present a substantial threat to the patient's overall well-being and survival. The chosen treatment modality is intermedullary nailing; nevertheless, there is a possibility of experiencing positioning-related side effects, such as neurapraxia, specifically associated with the pudendal nerve. Prolonged utilization of a perineal post may give rise to significant complications. 

This report pertains to a male patient, aged twenty, who was involved in a motor vehicle collision resulting in an isolated fracture of the femur. To achieve fracture fixation, a fracture table was employed, and the patient's treatment plan included surgical fixation with closed reduction intramedullary nail fixation. In order to address the lack of a perianal post on the table, we were compelled to employ an alternative tool, such as lateral support. 

The objective of this case report is to evaluate the effectiveness of utilizing lateral support as a perianal post in healthcare settings that have limited resources, particularly in relation to fractures of the femur shaft. In order to optimize patient care, it is imperative to ensure sufficient padding and consider the varying types of fractures and the patient's body composition.

 Keywords: Femoral Shaft Fractures; Polytrauma; Neurapraxia; Pudendal Nerve

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