- Stabilize the patient before you investigate
- Operative options include intramedullary nailing, ex-fix and plating
- Indications for retrograde nailing are: ipsilateral acetabular/neck fracture, floating knee, distal end fracture, morbid obesity etc
- Platting indications: deformed femur, neck fracture, pregnancy, narrow canal, impending FES
- Reaming not an issue in trauma patients without chest injuries who have been well resuscitated
- Benefits of reaming include use of snug fit nails, increased union rates due to autologous bone grafting
