Antegrade Nailing for Midshaft Femur Fractures.

The standard of care for treatment of midshaft femur fractures is locked intramedullary nailing. Entry point and patient position remain variables without a single universal method agreed as optimum. Morbid obesity poses additional challenges for intramedullary nailing, where special considerations must be taken. This video demonstrates supine antegrade nailing on a fracture table for a morbidly obese patient with a midshaft bisphosphonate femur fracture.