The document outlines four approaches to the femur - lateral, antromedial, antrolateral, and posterior. It provides details on the uses of each approach. The lateral approach is used for ORIF of intertrochanteric and subcapital fractures, osteotomies, femoral shaft fractures, and hip arthrodesis. The antromedial approach is used for trochanteric or subtrochanteric fractures, requiring internal rotation of the leg. The antrolateral approach is best for distal femoral fractures and extending into the knee joint. The posterior approach is used for supracondylar fractures, intramedullary rod placement, and treating femoral nonunion.

1. Presented by
Ibrahim S. Al shaygy

2.  Four approaches:
◦ Lateral
◦ Antromedial
◦ Antrolateral
◦ Posterior

3.  The uses of the lateral approach include the
following:
◦ ORIF of intertrochanteric fractures
◦ Insertion of internal fixation of subcapital fractures or slipped
upper femoral epiphysis
◦ Osteotomy?
◦ ORIF of femoral shaft fractures and supracondylar fractures of
the femur
◦ Extraarticular arthrodesis of the hip joint
◦ Osteomyelitis
◦ Biopsy and treatment of bone tumors

4.  Trochanteric or subtrochanteric fractures?
◦ Internally rotate the leg 15°, Why?
 Femoral shaft fractures?

8.  Good for?
 Used for:
◦ ORIF for fractures of the distal femur, particularly those that
extend into the knee joint (its major use)
◦ ORIF of femoral shaft fractures
◦ Osteomyelitis
◦ Biopsy and treatment of bone tumors
◦ Quadricepsplasty

13.  Uses:
◦ ORIF of femoral fractures, especially supracondylar
fractures
◦ Open intramedullary rod placement
◦ Treatment of nonunion of femoral fractures
◦ Femoral osteotomy

18.  USES:
Treatment of infected cases of nonunion of the
femur
◦ Treatment of chronic osteomyelitis
◦ Biopsy and treatment of bone tumors
◦ Exploration of the sciatic nerve

22. Short head?
Long head?

24. Dangers!!