05/05/2026
💢 MALUNITED FRACTURE SHAFT OF FEMUR
𝙎𝙪𝙗𝙟𝙚𝙘𝙩- 34 Years/Male
𝘾/𝙤.
•deformity and shortening of ( L) thigh following native treatment of fracture of (L) thigh bone 12 months back
•Difficulty in flexion of (L) knee and squatting for past 8 months
𝙃𝙞𝙨𝙩𝙤𝙧𝙮
•Sustained injury to (L) thigh 12 months back following a fall – treated natively with bandage for 4 months.Now has found that (L) leg is shorter than right and is externally rotated- with difficulty in flexion and squatting
•No H/o. instability
•No H/o. swelling or sinus with
discharge
𝙊/𝙀 :
𝙄𝙣𝙨𝙥𝙚𝙘𝙩𝙞𝙤𝙣
•(L) Thigh– wasting, (L) leg, and patella externally rotated than right (L) Lower limb shortening +
•No sinus or Scar
𝙋𝙖𝙡𝙥𝙖𝙩𝙞𝙤𝙣
•Bony swelling and irregularity in M/3 (L) femur
•No abnormal mobility or crepitus •External rotation deformity of (L) leg - 15° Shortening of 4 cm + in femoral component
𝙈𝙤𝙫𝙚𝙢𝙚𝙣𝙩𝙨
•flexion : 0°- 1 10°
•IR: 15° - further rotation of 10º
IR: Correctable to neutral position
𝙂𝙖𝙞𝙩- Short Leg Gait
𝙄𝙣𝙫𝙚𝙨𝙩𝙞𝙜𝙖𝙩𝙞𝙤𝙣𝙨
X-Ray : Malunited # Shaft of femur M/3
𝙄𝙢𝙥𝙤𝙧𝙩𝙖𝙣𝙩 𝙋𝙤𝙞𝙣𝙩𝙨
1. Malunions of femoral shaft are not uncommon
2. Most often occurs after treatment with cast braces or treatment of unstable open # with small intramedullary nails
3. Almost all malunions of shaft show combined deformities of malrotation, angulation and shortening
4. Shortening more than 2.5 cm , malrotation of 10°-15° and angulation of 15° requires correction in active patients
5. The type of surgical procedure indicated for correction of malunion of the femur depends on the degree of deformity, the alignment of medullary canal and the location of deformity.
