Functional outcome analysis in floating knee injury
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 2
Abstract
Introduction The term floating knee is defined as simultaneous ipsilateral fracture of femur and tibia that disconnect the knee from the rest of the limb Due to the complexity of injury and associated complications such as compartment syndrome vascular injury collateral and meniscal injuries they remain as great challenge to the treating orthopaedicianMaterials and Methods Study includes 25 cases of floating knee injuries done at our institution from June 2013 to December 2016 McBryde and Blake classification was used and intramedullary interlocking nailing was done in majority of cases All the patients were followed up for clinical radiological outcome and complications Functional outcome was assessed by using Karlstrom Olerud criteriaResults In our study mean age is 435 years predominantly males 96 McBryde and Blake type I 52 was common The average hospitalization period is 45 days Minimum follow up period was 4 months The average fracture union time was 24 weeks for tibia and 25 weeks for femur The most common complications noted was shock 68 knee stiffness 44chronic osteomyelitis 20 malunion 16 non union 16vascular injury with amputation4 Functional outcome based on above criteria is excellent in 40 good in20 acceptable in 20 and poor in 28Conclusion Each fracture in floating knee is unique and treatment should be individualized In compound fractures early stabilization with external fixator followed later by definitive fixation avoid the late complication In closed fractures early internal fixation and rehabilitation will give a good functional outcomeKeywords Floating knee Management Complications Functional outcomes
Authors and Affiliations
Muthukumar Kaliamoorthy, Kosalaraman Padmanabhan, Shreyas Doddihithlu
Keywords
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- EP ID EP476608
- DOI 10.18231/2395-1362.2018.0037
- Views 109
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