Functional outcome of surgical management of floating knee injuries in adults (Ipsilateral femoral and tibia fractures) and its prognostic indicators
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Ipsilateral femoral and tibial fractures are termed as floating knee injuries [1, 2]. They range from simple diaphyseal fractures to complex intraarticular fractures. Combinations of diaphyseal, metaphyseal and intra-articular fractures can be seen in different patients. Our study evaluates functional outcome of surgical management of these injuries and the prognostic indicators. Materials and methods: This is a prospective study where 20 adult patients of floating knee injuries were treated surgically using locked intramedullary nail or locking plate and screws for femoral fracture and locked intramedullary nail or locking plate and screws for tibial fracture depending on individual fracture types. Patients were classified using Fraser’s classification (Assessment at the end was done using Karlstorm –Olerund criteria after union of fractures. Follow up period was 1 year. Results: Functional outcome after bony unions according to Karlstorm – Olerund criteria were excellent-9, good -8, acceptable -2, poor -1. Conclusions: The associated injuries, age of the patient, type of fracture, modality of fracture fixation, post-op rehabilitation are the factors that determine good final functional outcome in floating knee injuries.
Authors and Affiliations
Dr. Shobha HP, Dr. Idris Kamran, Dr. Lingaraju K, Dr. Rahul Bansal
Keywords
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