Comparative analysis of surgical outcomes for patients with femoral ununited midshaft fractures

Objective: to perform comparative analysis of surgical outcomes in patients with types A2 and A3 ununited midshaft fractures of the femurs using Oswestry Disability Index (ODI), standardized assessment system for bone fracture outcomes and their consequences (SOI-1) and modified radiographic assessment of fracture healing (mRUS). Material and Methods. 40 patients with ununited midshaft fractures of the femurs including 22 patients with type A fractures (Group I) and 18 patients with type В fractures (Group II) were surveyed. The average follow-up period was 29.5±19.5 months. Results. In Group I the average ODI score made 47±0.9 and SOI-1 scores made 85±1.8% in 12 months. The mRUS fracture union score corresponded to 13.9±0.6. In Group II the average ODI score made 46.2±0.9 and SOI-181.8±1.7% in 12 months. The mRUS fracture union score corresponded to 13.7±0.6. Conclusion. The injured limbs functionality recovered sooner in patients of Group I (type A3 fractures) specifically in 6 months of a surgery proven by the absence of statistical differences in the results of estimation with ODI questionnaire and SOI-1 system observed in 12 months owing to the nature of fractures rather than the degree of their unions or the methods of surgical invasion applied.