• Traction splints can provide pain control, but should not be placed if there are associated knee, ankle or hip fractures.
  • Obtain full length femur X-rays (AP and lateral) to evaluate for concomitant femoral neck fracture, particularly in high mechanism injuries.
  • Midshaft femur fractures in pediatric patients <5yo are typically treated non-operatively with immobilization


Can lose up to 1500ml of blood with a unilateral femur fracture.