M.E.Müller: Atlas: Fracture 32-A2

Femur, Diaphysis,
simple fracture, oblique 2,48% of the total
4,11% of the femur
17,05% of the segment

222 fractures
16,5% group
47%M, 53%F

961 fractures
71,3% group
65%M, 35%F

165 fractures
12,2% group
65%M, 35%F

Subtrochanteric section Middle section Distal section

These are simple fractures of the femoral diaphysis, with an oblique fracture line, located at its proximal third (subtrochanteric; A2.1), middle third (A2.2) or distal third (A2.3).The fracture line is considered oblique when the angle formed by the perpendicular to the diaphyseal axis and the fracture line is equal to or greater than 30º. Ref. Manual of Internal Fixation:
254 - 265. 232 - 251. 291 - 331
535 - 547.
Surgeon. JG, RO, RO, CS.

Once the fracture is reduced, its surface must be put under compression by means of a lag screw and then neutralized either by a standard plate or a titanium LC-DCP. All of the technical arguments discussed in the previous 32-A1 group are also valid for the 32-A2 group. The middle third fractures may also be internally fixed by reamed intramedullary nailing, a technique that favors

dynamic compression guided by a load tutoring device. For the fractures located at the distal end of the middle third, where the medullary canal beguins to flare like a trumpet, we prefer to use the 95º condylar blade plate. If one prefers to use intramedullary nailing for this latter location, it should be interlocked distally.

preoperative + 4 months

preoperative + 1 year

preoperative + 1 year

preoperative + 7 months




						Femur, Diaphysis, simple fracture, oblique	2,48% of the total 4,11% of the femur 17,05% of the segment






These are simple fractures of the femoral diaphysis, with an oblique fracture line, located at its proximal third (subtrochanteric; A2.1), middle third (A2.2) or distal third (A2.3).The fracture line is considered oblique when the angle formed by the perpendicular to the diaphyseal axis and the fracture line is equal to or greater than 30º.		Ref. Manual of Internal Fixation: 254 - 265. 232 - 251. 291 - 331 535 - 547. Surgeon. JG, RO, RO, CS.

Once the fracture is reduced, its surface must be put under compression by means of a lag screw and then neutralized either by a standard plate or a titanium LC-DCP. All of the technical arguments discussed in the previous 32-A1 group are also valid for the 32-A2 group. The middle third fractures may also be internally fixed by reamed intramedullary nailing, a technique that favors	dynamic compression guided by a load tutoring device. For the fractures located at the distal end of the middle third, where the medullary canal beguins to flare like a trumpet, we prefer to use the 95º condylar blade plate. If one prefers to use intramedullary nailing for this latter location, it should be interlocked distally.