Flagstad IR, Tatman LM, Albersheim M, et al. - This study was undertaken to explore the factors that influence the timing of definitive fixation in the management of bilateral femoral shaft fractures and the outcomes for patients with these injuries. Researchers retrospectively examined patients with bilateral femur fractures treated between 1998 to 2019 at ten level-1 trauma centers. A total of 328 patients were recruited; 164 patients were included in the early fixation group and 164 patients in the delayed fixation group. The results of this study indicated that high-volume institution was the strongest predictor of timing to definitive fixation in patients with bilateral femur fractures. The research illustrated an opportunity to create a standardized care pathway for patients with these injuries.