Prognostic Factor of Ipsilateral Lowerlimb Femur and Tibia Fractures
Journal Title: Scholars Academic Journal of Biosciences - Year 2014, Vol 2, Issue 10
Abstract
Prospective study of fifty cases of ipsilateral fractures of femur and tibia treated in Sri Ramachandra medical collage between June 2012 to June 2014. The inclusion criteria were femoral fractures distal to the level of lesser trochanter with an ipsilateral tibia fracture proximal to the tibial plafond and minimum follow up of one year. The exclusion criteria were patients who succumbed to craniocerebral, thoracic, or abdominal injuries resulting in death within forty-eight hours and patients below twenty years of age. We had sixty percentage of excellent/good results in group I compared to thirty percentage of excellent/good result in group II. While we had thirty five percentage of acceptable results in group I compared to fifty eight percentage of acceptable results in group II. We had six percentage of poor results in group I compared to fifteen percentage of poor results in group II. The Floating Knee is a complex injury with more than just ipsilateral fractures of the femur and tibia. The associated injuries and the type of fracture (open, intra-articular, comminution) are prognostic indicators of the initial and final outcome in patients. We recommend thorough initial assessment of patients with regards to life threatening associated injuries, surgical fixation of both fractures preferably by intramedullary nailing, knee ligament assessment to detect injuries and rigorous post-operative rehabilitation for a good final outcome.
Authors and Affiliations
Dr. Ganesan Ganesan Ram, Dr. Sundar Suriyakumar, Dr. Kunal Patel, Dr. Giriraj Harshavardhan, Dr. Vijayaraghvan Phagal Varthi
Keywords
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