Assessment of Functional Outcomes of Femur Treatment Using Modified Thoresen’s Criteria in Terms of Malalignment, Knee Motion, and Associated Symptoms

Comminuted fracture shaft of femur is increasing day by day due to Severe violence by road traffic accident and fall from height in modern civilization and intramedullary nailing sometimes technically not feasible in this type of fracture (AO type-32B3, 32C). Reaming may aggravate the comminution and displaced the comminuted fragments and sometimes difficult in segmental fracture involving metaphyseal region. To assessment of functional outcomes of femur treatment using modified Thoresen’s Criteria in terms of malalignment, knee motion, and associated symptoms. The study was carried out at the Dhaka medical college Hospital over a period of one and half year from September, 2016 to February, 2018. The total number of patients were 24. The mean age of the patients was 33.1±9.9 and the lowest and highest ages were 20-60 years respectively. Age of most (58%) of the patients were below 30 years. Three quarter of the patients (75%) were male and 37.5% were day labourer. Most of the patients (81%) were presented with right sided comminuted femoral shaft fracture. All of the injuries were closed type. In terms of type of fracture, AO type 32C2 were predominant (50%).AO type 32B3, 32C1,32C3 were 12.5%, 12.5% and 25%. Associated injury was found 6 patients that was 25% among 24 patients. Total duration of surgery <90 minute was taken in 41.5% and >90 minutes taken in 58.5% with mean deviation was 105 minutes and standard deviation was 19 minutes. 16 patients (67%) exhibited wide range of knee motion (>120), four (17%) patients slightly restricted knee motion (110-120), two patients (8%) moderately restricted knee motion (90-110) and two patients (8%) extremely restricted knee motion (<90). Evaluation of outcome by The Modified Thoresen’s criteria (1985) 6 months after intervention demonstrated that 29% of the patients had excellent outcome, 57% good outcome, 9.5% fair and 4.5% poor outcome. Assessment of Functional Outcomes of Femur Treatment Using Modified Thoresen’s Criter