A Study Of Functional Outcome Of Surgical Management Of Floating Knee Among Adults
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
Background: ‘Floating knee injury’ is a term used to denote ipsilateral femoral and tibial metaphyseal injuries. However, recently termhas been expanded to include most ipsilateral fractures of the femur and tibia. There are no specific guidelines for the management. The implant choice needs to be determined depending on nature of fracture and soft tissue injuries. A specific pattern of management can often not be determined. This study is about the Functional Outcome of Surgical Managements of Floating Knee. For this study 34 consecutive patients with ipsilateral femur and tibia fractures were presented to KIMS casualty from Nov 2013- Dec 2016. Follow up study was done for six weeks, 12 weeks, six months and one year. Serial x-rays and functional assessment were carried out at each visit in outpatient clinic itself using the Karlstorm and Oleruds criteria. As per Karlstrom and Oleraud criteria 23.5% had excellent outcome, 29.4% had good outcome, 29.4% had acceptable outcome and 17.6% had poor outcome. Patients who underwent primary nailing had Excellent or Good results. Patients who underwent MIPPO had good result. The most important factors, which determine the functional outcomes, were the type of fractures (open or closed), nature of comminution including intra- articular extensions, timing of fixations and postoperative infections.
Authors and Affiliations
Sher Shah Kammar, Venkatesh M Mulimani, Suryakanth Kallurya, Vighnesh Vighnesh, Sarang Padmawar
Keywords
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