Functional Outcome of Operatively Treated Floating Knee Injuries in Adults
Journal Title: Orthopaedic Journal of M. P. Chapter - Year 2016, Vol 22, Issue 2
Abstract
Background:Floating knee injuries result from high velocity trauma and are associated with high morbidity. There are no clear guidelines for their management. This study evaluated the functional outcomes of operatively treated floating knee injuries in adults and the factors affecting them. Methods: Thirty patients (29 men, 1 women; mean age30.7 years; range, 15 to 70 years) were included in the study. The fractures were classified according to the classification by Blake and McBrydes.Femur fractures were treated using intramedullary interlocking nails either antegrade or retrograde or locking compression plate and tibia fractures were treated with either external fixator, locking compression plate or intramedullary interlocking nails. Follow up was done at 4 weeks, 8 weeks, 6 months and 1 year. Results: The functional outcome was accessed using Karlstrom And Olerued Criteria and was: Excellent in 3, Good in 9, Acceptable in 10 and Poor in 8 patients. Conclusion:The factors which determine the functional outcomes were type of fracture (open or closed), pattern and site of fracture, presence of intra articular extension and method of fixation used. The best management of these injuries involves intramedullary nailing of both the fractures.
Authors and Affiliations
Dr. Deepak Aher
Keywords
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