Standard Reaming Versus Reaming/Irrigating/Aspirating for Intramedullary Nailing of Femoral Shaft Fractures

Inclusion Criteria: 1. Men or women between the ages of 18 years and 85 years; 2. Acute fractures of the femoral shaft Exclusion Criteria: 1. Fractures not amenable to intramedullary nailing and deemed by the treating surgeon; 2. Pathological fractures; 3. Open fractures; 4. Patients with additional injuries to the ipsilateral femur; 5. Surgical delay of greater than 7 days from the time of injury; 6. Retained hardware in the affected limb; 7. Previous infection in fractured limb; 8. Likely problems in the judgment of the investigators with maintaining follow-up; 9. Patients with severe cognitive injuries or disabilities will be excluded if it is deemed that they will be unable to complete the study questionnaires; 10. Hopeless diagnosis; 11. Medical comorbidities that prohibit the conductance of surgical treatment under a general anesthetic; 12. Fractures requiring cephalomedullary nails