Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes.
10.4055/cios.2011.3.2.133
- Author:
Alaa M HEGAZY
1
Author Information
1. Orthopedic Surgery Department, Zagazig University Faculty of Medicine, Zagazig, Egypt. alaa58hegazy@hotmail.com
- Publication Type:Original Article
- Keywords:
Ipsilateral;
Fracture;
Femur;
Tibia;
Floating knee
- MeSH:
Adolescent;
Adult;
Aged;
Female;
Femoral Fractures/radiography/*surgery;
Follow-Up Studies;
Fracture Fixation, Intramedullary/instrumentation/*methods;
Humans;
Male;
Middle Aged;
Multiple Trauma/radiography/*surgery;
Orthopedic Fixation Devices;
Prognosis;
Tibial Fractures/radiography/*surgery;
Treatment Outcome;
Young Adult
- From:Clinics in Orthopedic Surgery
2011;3(2):133-139
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: This study evaluated the outcomes of surgical management of ipsilateral femoral and tibial fractures in adults. METHODS: Fifteen patients (13 men, 2 women; mean age, 34.8 years; range, 18 to 65 years) were enrolled in this study. The fractures types were classified according to the classification by Fraser et al. as follows: type I (5), type IIa (3), IIb (4), IIc (3). Femur fractures were treated using locked intramedullary nails, plate-screws, or dynamic condylar screws, and tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The mean follow-up duration was 2.2 years (range, 1.3 to 4 years). RESULTS: The extent of bony union according to the Karlstrom criteria was as follows: excellent, 8; good, 4; acceptable, 2; poor, 1. CONCLUSIONS: The associated injuries and type of fracture (open, intra-articular, comminution) are prognostic factors in a floating knee. The best management of the associated injuries for good final outcome involves intramedullary nailing of both the fractures and postoperative rehabilitation.
