Evaluating the functional outcomes of tibia and ipsilateral femur fracture, which are floating knee injuries, in adults
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20240411Keywords:
Ipsilateral femur and tibia, Floating knee Karlstrom-Olerud criterion, Fraser classificationAbstract
Background: High velocity trauma leads to ipsilateral femur and tibia fractures. Despite being very uncommon, they have a significant morbidity rate. Combinations of diaphyseal, metaphyseal, and complicated intra-articular fractures may be present in this kind of injury. Objectives were to assess the functional success of adult patients with ipsilateral femur and tibia fractures treated with various methods.
Methods: The 30 adult patients with floating knee injuries underwent surgical treatment as part of the prospective research at the department of orthopedics, govt. medical college, and affiliated group of institutions in Kota. A combination of implants, such as an intra-medullary nail, locking plates, screws, or external fixators, were used to treat both femur and tibia fractures.
Results: Karlstrom-Olerud criteria were used for the final evaluation. In our study, five patients (16.6%) had excellent outcomes, ten (33.3%) had good results, seven (23.3%), had acceptable results, and eight (26.6%) had poor results.
Conclusions: When the fracture is diaphysis and it is treated with intra-medullary nails for both the femur and the tibia, the results are excellent. In this way, the age of the patient, the kind of fracture, the methods of fracture fixation, and the functional result were all taken into account.
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References
Hayes JT. Multiple fractures in the same limb: some problems in their management. Surg Clin N Am. 1961;41:1379-88.
McBryde A Jr. The Floating knee, Ipsilateral fractures of femur and tibia. J Bone Joint Surg. 1974;56(A):1309.
Lett E. Vincent the `Floating Knee' in children. JBJS. 1986;68'(3):442-6.
Veith RG, Winquist RA, Hansen ST. Ipsilateral fractures of the femur and tibia. J Bone Joint Surg Br. 1984;66(7):991-1002.
Gustilo RB, Anderson JT. Prevention of infection in treatment of fractures study of 1025 open fractures. J Bone Joint Surg, 1976;58(A):453.
Rotliff AHC. Fractures of the shaft of the femur and tibia in the same limb. Proceeding Royal Society Med. 1968;61(9):906-8.
Bernard F, Meggitt D. Functional cast bracing treatment of femoral fractures. J Bone Joint Surg. 1981;63(B):17-8.
Karlstrom G, Olerud S. Ipsilateral fractures of femur and tibia. J Bone Joint Surg. 1977;9(2):240-3.
Fraser RD, Hunter GA. Ipsilateral fractures of the femur and tibia. J Bone Joint Surg. 1978;142(B):115-22.
Hee HT, Wong HP, Low YP, Predictors of outcome of floating knee H P Wong injuries in adults. Y.P. Low Acta Orthop Scand. Acta Orthop Scand. 2001;72(4):385-94.
Dwyer AJ, Paul R, Floating Knee injuries; Long term results of four treatment methods. Int Orthoped. 2005;29(5):314-8.
Rethnam V, Study of epidemiology, prognostic indicators and outcome following surgical management of floating knee. J Trauma Management Outcomes. 2007;I(1):2.
Watson-Jones R, Wilson JN. Watson Jones Fracture and Joint injuries, 6th Edition, Churchill Livingstone, 1982;1026.
Tay BK, Tong GO. Ipsilateral fractures of femur and tibia. Annual Academy Med Singapore. 1982;11(2):139-41.
Veith RG, Winquist RA, Hansen ST. Ipsilateral fractures of femur and tibia. J Bone Joint Surg. 1984;66(7):991-1002.
Rooser B, Hansson P. External fixation of ipsilateral fractures of femur and tibia. Injury, 1985;16(6):371-3.
Ran A. Bilateral floating knee in multiple injured patients: A case report. Orthopedics. 1986;9:1355-58.
Nouraei MH, Hosseini A, Zarezadeh A, Zahiri M. Floating knee injuries; Results of treatment and outcomes. J Res Med Sci. 2013;18(12);1087-91.
Terry SC, James HB. Campbell‟s operative orthopedics, 11th edition vol 7. Mosby. 2007;1674.
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