Is a mid-shaft spasmodic femur fracture best immobilized using fixation or traction splinting?

Surgery, not always: Operative stabilization of femoral shaft fractures has been shown to improve overall outcome in most cases. This is dependent upon the patient being stable enough to withstand surgery and the ability of the surgical team to be able to gain stabilization of the fracture (may be affected by previous hardware, bone quality, deformity, patient reliability, limb control and other factors.