Fractures of the shaft of the femur are the result of high-energy trauma such as motor
vehicle collisions, pedestrian accidents, gunshot injuries, and falls from heights.
High-energy injuries caused by direct force often are associated with other injuries
and open wounds. These injuries, therefore, can be life threatening and result in
long-term disability. Patients with femur fractures on average lose up to two or three
units of blood as a result of the injury. Up to 50% of all patients require blood
transfusion [
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