Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents following high-energy trauma to the right lower extremity. Reports severe pain, inability to bear weight, and visible deformity of the right thigh. No reported numbness or tingling in the distal extremity. Mechanism of injury: [Insert Mechanism].
Clinical Examination Findings
Right thigh demonstrates significant swelling, ecchymosis, and palpable deformity at the mid-shaft. Skin is intact with no open wounds (Gustilo-Anderson Grade 0). Distal neurovascular status: dorsalis pedis and posterior tibial pulses are 2+ and symmetric; capillary refill <2 seconds; sensation intact to light touch in all dermatomes; motor function intact in extensor hallucis longus and gastrocnemius.
Treatment Protocol
Immediate immobilization with traction splint applied. Radiographic imaging confirmed closed femoral shaft fracture. Patient stabilized for surgical intervention. Plan: Intramedullary nailing (IMN) scheduled. Pain management initiated with IV analgesics. NPO status confirmed.