Functional outcome of surgical management of floating knee injuries in adults (Ipsilateral femoral and tibia fractures) and its prognostic indicators
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Ipsilateral femoral and tibial fractures are termed as floating knee injuries [1, 2]. They range from simple diaphyseal fractures to complex intraarticular fractures. Combinations of diaphyseal, metaphyseal and intra-articular fractures can be seen in different patients. Our study evaluates functional outcome of surgical management of these injuries and the prognostic indicators. Materials and methods: This is a prospective study where 20 adult patients of floating knee injuries were treated surgically using locked intramedullary nail or locking plate and screws for femoral fracture and locked intramedullary nail or locking plate and screws for tibial fracture depending on individual fracture types. Patients were classified using Fraser’s classification (Assessment at the end was done using Karlstorm –Olerund criteria after union of fractures. Follow up period was 1 year. Results: Functional outcome after bony unions according to Karlstorm – Olerund criteria were excellent-9, good -8, acceptable -2, poor -1. Conclusions: The associated injuries, age of the patient, type of fracture, modality of fracture fixation, post-op rehabilitation are the factors that determine good final functional outcome in floating knee injuries.
Authors and Affiliations
Dr. Shobha HP, Dr. Idris Kamran, Dr. Lingaraju K, Dr. Rahul Bansal
Keywords
Related Articles
- EP ID EP498522
- DOI -
- Views 110
- Downloads 0
Management of intra articular fractures of distal radius with variable angled locking compression plate -midterm outcome analysis
Introduction: Fractures of distal radius remains one of the most challenging fractures treated by orthopaedic surgeons. The aim of this study is to analyse the functional outcome in intra articular distal radius fracture...
Comparative study between dynamic hip screw & proximal femoral nail in treatment of intertrochanteric fracture
Intertrochanteric fractures are those occurring in the region extending from the extra capsular basilar neck region to the region along the lesser trochanter. Due to an increasing life span and sedentary lifestyle the in...
A comparative study of two percutaneous pinning techniques (Cross K wire vs Lateral K wire) for Gartland type III pediatric supracondylar fracture of the humerus
Background: Supracondylar fractures of humerus are one of the most common fractures in paediatric age group. Closed reduction and percutaneous K-wire fixation is one of the most commonly used treatment modality in Gartla...
Role of topical phenytoin (Diphenylhydantoin) dressing in diabetic ulcers: A comparative study with conventional dressing
Introduction: The stimulatory effect of phenytoin on connective tissue suggested possibility for its use in wound healing. Oral phenytoin was first introduced as an antiseizure medication in 1937. Over 60 years investiga...
Efficacy of autologous platelet rich plasma injection in plantar fasciitis and tennis elbow
Aims and Objectives 1. To study the efficacy of autologous platelet rich plasma in plantar fasciitis and tennis elbow. 2. To compare the outcome of autologous platelet rich plasma injections between plantar fasciitis and...