الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Between February 2018 to February 2019 the retrospective study done on 12 cases in Libyan and Zagazig hospitals. Overall, these results of 12 cases show that in the grade I and II open femoral shaft fractures, a primary unreamed intramedullary nailing in 9 cases can be safely done, with minimal complications and excellent functional results. For the grade III open fractures of the femur, the modern techniques of management, combined with the skills of experienced orthopedic and plastic surgeons, can consistently restore excellent limb functions in a very high proportion of patients. In some of the most severely injured limbs, a salvage is possible and a useful functional limb can be obtained, as was shown in our study. It is important to analyze such cases of compound injuries when they come to us in emergency. Such cases should be taken up only if the center has both orthopedic and plastic surgeons’ skills available and then a fairly good outcome can be expected.