Background: Femoral shaft fracture, particularly those complicated by infected non-union, poses significant challenges in orthopedic surgery. This study aims to evaluate the effectiveness of the Masquelet Technique (MT) in treating such fractures, focusing on patient demographics, fracture characteristics, management strategies, and post-treatment outcome. Material & Methods: This prospective experimental study included 12 patients treated at the National Institute of Traumatology and Orthopaedic Rehabilitation, Dhaka, from May 2019 to August 2021. Participants predominantly comprised of young adults, with a male majority. The study assessed the type of fractures, fixation methods used (primarily the SIGN Nail), and the interval for applying the MT. Bone gap size, limb length discrepancy (LLD), complications, and bone and functional outcomes were meticulously recorded and analyzed. Results: In this study, 75% of the fractures were closed and predominantly resulted from road traffic accidents, which accounted for 83.33% of the cases. The most frequent bone gap range was 2.51-3.0 cm, observed in 41.67% of the participants, with an average gap size of 3 cm. Limb Length Discrepancy (LLD) ranging from 1 to 2.4 cm was experienced by 58.33% of the participants. While two-thirds (66.67%) of the participants did not develop any post-treatment complications, 33.33% experienced knee stiffness and 16.67% suffered from pin tract infections. A significant majority, 66.67%, achieved ‘Excellent’ outcomes in both bone union and functional recovery. Conclusions: The study demonstrates the effectiveness of the Masquelet Technique in managing femoral shaft fractures, particularly in achieving satisfactory bone and functional outcomes. Despite the challenges in managing large bone gaps and LLD, the technique showed promising results in terms of minimizing complications and enhancing recovery.
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