A Prospective Study of Functional Outcome of Surgical Management of Ipsilateral Tibia and Femur Fracture (Floating Knee Injuries)
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 4
Abstract
Background: Floating knee injuries are due to high velocity trauma. Due to increase in incidence of high velocity trauma their incidence is also increasing. The aim of this study to evaluated the functional outcome in patients sustaining floating knee injuries. Materials & Methods: Primary care was given to all these patients and then they were operated. The 38 patients were classified according to Fraser’s classification.3 Of these 24 were type I, 6 were type IIA, 4 were type IIB and 4 were type IIC. Out of the thirty eight patients three patients ended up in amputation. So they were excluded from the study. Of the reaming thirty five patients, thirty patients came back for follow up. Five patients were lost in follow up, so the final study comprised of thirty patients. Follow up study was done at 6 weeks, 12 weeks, 6 months and 1 year. Results: Our study showed that the age distribution ranged from 18 yrs to 75 yrs. Out of the 30 Patients, 28 (93.33%) were due to road traffic accident and the rest 2 (6.6%) were due to fall from height. The results show four patients (13.3%) with EXCELLENT, nine patients (30.0%) with GOOD, ten patients (33.3%) with ACCEPTABLE and seven patients (23.3%) with POOR outcome (graph 3). The FRASER classification and the functional outcome were statistically SIGNIFICANT as p value was 0.012 (p<0.05). Conclusion: We concluded that the most important factors which determine the functional outcomes were the type of fractures (open or closed), nature of communition including intraarticular extensions, timing of fixations and post operative infections.
Authors and Affiliations
Harish Singh Rajpurohit, Pradeep Kumar Sharma, Deepesh Ameriya, Dr. Vardharam, Govind Sharma, Anoop Tiwari
Keywords
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- EP ID EP534339
- DOI 10.21276/ijmrp.2018.4.4.031
- Views 75
- Downloads 0
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