Optimal timing for femoral fracture fixation in multiple trauma patients

It is not known at what time definitive femoral shaft intramedullary nailing (IMN) should be performed to result in fewer complications for the patient. The trial will investigate the optimal timing of femoral shaft IMN in a single-centre phase II randomised trial. The null hypothesis is that there is no difference in organ dysfunction outcomes between multitrauma patients having a femoral shaft fracture nailed immediately (within 24 hours) or nailed 3-6 days later secondary to external fixation.