Isfahan University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Floating Knee Injuries: Results of Treatment and Outcomes



Nouraei MH1 ; Hosseini A2 ; Zarezadeh A1 ; Zahiri M2
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Orthopedic Surgery, Medical School, Isfahan, Iran
  2. 2. Medical School, Isfahan University of Medical Sciences, Isfahan, Iran

Source: Journal of Research in Medical Sciences Published:2013

Abstract

Background: Floating knee, referred to as ipsilateral fractures of the femur and tibia, is usually associated with several complications and mortality. This study was designed to present our experience with treatment of this injury throughout; age, sex, mechanism of injury, associated injuries, method and results of treatment, and complications of floating knee are discussed. Materials and Methods: This retrospective study was performed between January 2006 and December 2011. All patients with floating knee injuries who were admitted to the referral educational hospitals were included. The information about the 238 cases of floating knee injuries were gathered through the 254,620 trauma files and after excluding 18 patients who died within 6 months, the remaining files were studied and the target information was recorded. Results: The most frequent age group was 20-29 years (44.5%). The floating knee injuries were more common in males (85.5%). Type (D) according to the classification of Letts and Vincent was observed in 38.9% cases. The most frequent mechanism of injury was car to motorcycles accidents (48.2%). The most common associated injury was pelvic fractures (86.8%). Open reduction and internal fixation was the common type of treatment (70%). The most common early and late complications were knee hemarthrosis in 31 cases (14%) and knee osteoarthritis in 30 cases (13.6%), respectively. Death during the 5 years follow up was due to circulatory disruption, followed by deep vein thrombosis (61%). There was a significant relation between the age and outcomes as it worsens with age (P-value < 0.05). Conclusion: This study revealed that the complication rate associated with floating knee injuries remained high, regardless of the used treatment regimen and surgeons should focus on reducing complications while treating it.
Related Docs
1. No Difference Between Wound Closure in Extension or Flexion for Range of Motion Following Total Knee Arthroplasty: A Randomized Clinical Trial, Knee Surgery, Sports Traumatology, Arthroscopy (2016)
2. Determinants of Plate Fracture After Osteosynthesis of Lower Limb Fractures in One Year, Journal of Isfahan Medical School (2007)
3. Fixed Versus Mobile Weight-Bearing Prosthesis in Total Knee Arthroplasty, Knee Surgery, Sports Traumatology, Arthroscopy (2012)
4. Diagnostic Accuracy of Ottawa Knee Rule for Diagnosis of Fracture in Patients With Knee Trauma; a Systematic Review and Meta-Analysis, Archives of Academic Emergency Medicine (2023)
5. Evaluation of Thompson’S Quadricepsplasty Results in Patients With Knee Stiffness Resulted From Femoral Fracture, Journal of Research in Medical Sciences (2017)
6. Study of Knee Range of Motion After Soft Tissue Repair in Both Flexion and Extension During Total Knee Arthroplasty :A Randomized Clinical Trial, Tehran University Medical Journal (2022)
7. The Impacts of Internal Versus External Fixation for Tibial Fractures With Simultaneous Acute Compartment Syndrome, European Journal of Orthopaedic Surgery and Traumatology (2019)
Experts (# of related papers)
View all Related Experts
Mehdi Motififard (3)
Mohammad Dehghani (1)