In many cases of femoral shaft fractures in the aged, choosing the internal fixation material may be difficult due to the advanced bow of the femoral shaft or osteoporosis.
In these cases, we fixed four fractures in the middle third of the femoral shaft in patients 75 years old and over by applying a Mennen plate using an anterolateral approach.
CPM began one week postoperatively, and a functional brace was applied in order to start rehabilitation two weeks postoperatively.
In all four cases, good bone union was achieved, and ADL returned to the normal level (before fracture) in about two months.
