AO Femoral Nail Register

Questionnaire after discharge following primary surgery

Questionnaire after discharge after insertion of an intramedullary nail due to a diaphyseal
femoral fracture (type 32 according to the AO classification):

Your data

Your name

Select your continent:
	North America	East Europe
	West Europe			Far East
			Middle East
		Africa

	Latin America			Oceania

Institution

Address

E-mail

Country

Membership

Alumni AO none

Patient data
Starting date of contribution of all consecutive nailings of diaphyseal femoral fractures	Month: Year:
Date of birth	Day: Month: Year:
Date of fracture	Day: Month: Year:
Date of nailing	Day: Month: Year:

Type of fracture (diaphyseal fracture, mid shaft type 32) please select one type

A1 spiral

A2 oblique

A3 transverse

B1 torsion wedge

B2 bending wedge

B3 fragmented wedge

C1 complex spiral

C2 segmental

C3 complex irregular

closed fracture 1° open fracture 2° open fracture 3° open fracture

	1° open =	skin wound less than 1 cm, no fracture comminution
	2° open =	skin wound more than 1 cm, soft-tissue damage not extensive, no comminution
	3° open =	high-energy injury, extensive soft-tissue damage or vascular injury requiring repair or fracture comminution, segmental fractures or bone loss irrespective of size of skin wound

Pathological fracture ?

yes no

Isolated femoral fracture Multiply injured patient

Next step

AO Femoral Nail Register