Multifragmentary femoral shaft fractures can be segmental transverse (32-D/4.2) or ...

... wedge, oblique segmental, or comminuted (32-D/5.2). They may occur in the proximal, middle, or distal third of the femoral shaft.
These fractures are often a result of higher-energy trauma such as motor-vehicle crashes.
They are axially unstable.

Multifragmentary fracture in an 11-year-old female

4-year-old child, isolated multifragmentary femoral shaft fracture

Multifragmentary spiral fracture
