27500 Closed treatment of femoral shaft fracture, without manipulation

Name of the Procedure:

Closed Treatment of Femoral Shaft Fracture, Without Manipulation

Summary

This is a non-surgical procedure to treat a fracture of the femoral shaft (the long, straight part of the thigh bone) without manually realigning the broken bone segments. The treatment typically involves immobilization and natural healing under medical supervision.

Purpose

This procedure addresses a fractured femoral shaft. The goals are to allow the bone to heal naturally, minimize pain, and prevent further injury while maintaining proper alignment as much as possible.

Indications

• Fractures of the femoral shaft without significant displacement
• Patients not requiring immediate surgical intervention
• Suitable for individuals where surgical risks outweigh benefits

Preparation

• Patients may need to undergo imaging tests like X-rays to assess the fracture
• They may need to fast if anesthesia is anticipated for pain management
• Review and adjust medications as advised by the healthcare provider

Procedure Description

1. The patient is positioned comfortably, often on a hospital bed or examination table.
2. If necessary, pain management may be administered, which could include local anesthesia or sedation.
3. The affected leg is immobilized using casts, splints, or traction devices to ensure that the femoral shaft remains in place.
4. Regular follow-up imaging tests are conducted to monitor the healing process.

Duration

The initial immobilization process typically takes 30-60 minutes, though monitoring and adjustment continue over several weeks to months.

Setting

The procedure is usually performed in a hospital or outpatient clinic.

Personnel

• Orthopedic surgeon or physician
• Nurses or medical assistants
• Radiology technicians for imaging

Risks and Complications

• Potential for incomplete healing or malunion (bone heals improperly aligned)
• Risk of pressure sores from immobilization devices
• Possible nerve or blood vessel damage
• Risk of developing deep vein thrombosis (DVT)

Benefits

• Non-invasive treatment option with fewer surgical risks
• Promotes natural bone healing
• Allows patients to avoid surgical recovery time

Recovery

• The patient may need to use crutches or a wheelchair initially to avoid weight-bearing on the affected leg.
• Regular follow-up appointments to check healing progress through imaging tests.
• Physical therapy may be recommended to restore mobility and strength.
• Full recovery and return to normal activities can take several months, depending on the fracture severity and patient health.

Alternatives

• Surgical intervention with internal fixation (e.g., rods, plates, screws)
  • Pros: More precise alignment and potentially faster functional recovery
  • Cons: Surgical risks, longer initial recovery period
• External fixation using external frames

Patient Experience

• During the procedure, patients may feel discomfort and pain, which will be managed with appropriate medications.
• Afterward, patients need to follow instructions for immobilization and avoid putting weight on the affected leg.
• Regular pain management strategies, including medications and physical therapy, will be provided to ensure comfort during recovery.