[Results of the operative treatment of fractures of the shaft of the femur- collective study contributed by the German Democratic Republic to the International Orthopedic Association].

The permanent increase of fractures of the shaft of the femur are due to the rising traffic density. Problems are especially arising by complicated fractures. The results of the operative treatment of these fractures in 15 clinics of the GDR are analysed. Medullary nailing is used in most cases of simple forms of fractures. Second degree and third degree open fractures should be treated by osteosynthesis or exterior fixation. (It has been proven that the early osteosynthesis performed in these patients immediately after the accident is better than the delayed one.