“Joelho flutuante,” uma lesão incomum: análise de 12 casos

Yadav, Vishal; Suri, Harpreet Singh; Vijayvargiya, Mayank; Agashe, Vikas; Shetty, Vivek

doi:10.1016/j.rboe.2017.09.007

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…These proportions are consistent with other studies (14,20,(26)(27)(28)(29). According to a retrospective examination of 172 instances using the Fraser categorization, 71.5% of the cases were type I, and the distribution of type II into three subgroups was as follows: II A 8.2%, II B 11.6%, and II C 8.7% (14).…”

Section: Discussionsupporting

confidence: 90%

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Pattern and Functional Outcome Of Floating Knee Injury Treated Surgically at Tertiary Hospital, Addis Ababa, Ethiopia. A Retrospective Study

Asefa,

Ayalew,

Ousman

et al. 2023

Preprint

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Introduction: Floating knee injuries, ipsilateral femur, and tibial fractures are uncommon, and the exact frequency is unclear. These complicated injuries have a significant complication rate and may result in a poor prognosis. Methods A retrospective hospital-based cross-sectional study design was conducted among patients with floating knee injuries at AaBET hospital. 71 patients with floating knee injuries were treated at AaBET hospital from January 1, 2016, to December 31, 2021. Binary and multivariate logistic regression was used. The functional results of these injuries were evaluated using the Karlström and Olerud criteria. We assessed functional outcomes at 12-month post-operative follow-up. P-value < 0.05 was considered statistically significant. Results In this study, 71 patients with floating knee injuries were included. Of these, 51 (71.8%) had satisfactory results, 69 (97.2%) were the result of road traffic accident (RTA), 41 (57.7%) had open fractures, 50 (70.4%) had simultaneous injuries, and 20 (28.2%) had postoperative complications, the most common of which were wound and pin site infections (17% ).In binary logistic regression, open floating knee patients with associated injuries, patients with type 2 Fraser’s class floating knee injuries, patients who had a femur fracture treated with an external fixator, patients who underwent repeat surgery, and patients whose repeated surgery done after two weeks and patients with complication are associated with an unsatisfactory outcome. Multivariate analysis showed patients with type 2 Fraser’s classification of floating knee injuries were 8.9 times more likely than those with type 1 to experience a poor outcome (AOR 95% CI: 8.94 (1.81, 44.07), p = 0.007). Conclusion Involvement of the knee joint in floating knee injuries is the most important predictor of an unsatisfactory outcome.

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Section: Discussionsupporting

confidence: 90%

“…Some studies have reported infection rates up to 30%, femoral non-union rates up to 11%, tibial non-union rates up to 30%, malunion rates up to 13%, and repeat surgery rates up to 46% in oating knee injuries (6,14,20,27,29,30). Retrospective analysis of 419 patients with oating knee injuries revealed a 24.8% post-operative complication rate.…”

Section: Discussionmentioning

confidence: 99%

Pattern and Functional Outcome Of Floating Knee Injury Treated Surgically at Tertiary Hospital, Addis Ababa, Ethiopia. A Retrospective Study

Asefa,

Ayalew,

Ousman

et al. 2023

Preprint

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“…Em sua maioria, o trauma está associado às lesões de partes moles e ligamentares 3 , traumatismo crânio encefálico, lesões contralaterais, trauma torácico e abdominal 2 . Ademais, as principais complicações estão relacionadas à pseudartrose, consolidação viciosa, infecção e amputação de membro 4 .Yadav et al 4 , após análise de 12 pacientes no Hinduja National Hospital, Índia, identificou 5 deles (41,6%) com rigidez de joelho como complicação prevalecente. Dessa maneira, o joelho flutuante é classificado por Fraser, no qual se observa a localização dos traços de fratura do fêmur e da tíbia 2,3 .…”

Section: Discussionunclassified

Joelho Flutuante: um relato de caso / Floating Knee: a case report

Schueda¹,

Menegazzo²,

Bier³

et al. 2021

BJDV

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RESUMOJoelho flutuante é uma condição ortopédica pouco comum e grave, caracterizada pela associação da fratura de fêmur e tíbia ipsilateral. Na sua maioria, relacionada a trauma de grande energia, comumente associada a lesões musculoesqueléticas e viscerais com alto potencial letal. Relatamos o caso de um paciente masculino politraumatizado vítima de acidente de moto. Desse modo, pode-se concluir que, joelho flutuante, o qual geralmente se origina de traumas de alta energia, pode ser classificado por Fraser, sendo observado a localização dos traços de fratura femoral e tibial, e pela classificação AO na avaliação do grau de cominuição de cada segmento das fraturas, auxiliando no prognóstico e tratamento das lesões. Quando a lesão está exposta, utiliza-se a classificação de Gustilo e Anderson para avaliar o grau de exposição óssea. Na presença de lesões extensas de partes moles, deve-se avaliar a escala de MESS, a qual possui critérios objetivos que interferem na decisão da conduta, sendo o valor indicativo de amputação em índices acima de 7.

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“…El mecanismo suele ser un trauma de alta energía. Las tasas de infección, no unión, malunión y rigidez de la rodilla, pérdida excesiva de sangre, embolia grasa, son relativamente altas; lo que lleva a un deterioro funcional y con frecuencia resultados no satisfactorios [2][3][4][5][6][7].…”

Section: Introductionunclassified

Clavo Intramedular de Sign en Rodilla Flotante: Una serie de casos

Peña

Abril²

2020

Rev Med HJCA

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BACKGROUND: “Floating knee” describes ipsilateral fractures of the femur and tibia, where the knee is disconnected from the rest of the limb. The mechanism is usually a high-energy trauma. Rates of infection, lack of union, stiffness of the knee, excessive blood loss, fat embolism, are relatively high; leading to functional impairment and often unsatisfactory results. Immediate definitive reduction and fixation of fractures by intramedullary nail reduces the incidence of complications. METHODS: A descriptive study was carried out, a case series report of 7 patientes treated by the SIGN Intramedullary Nail (IMN); to establish the functional results, concomitant injuries, complications and advantages of this nail, in our practice. RESULTS: The majority of the patients were male, with a mean age of 26 years. All injuries were caused in traffic accidents, 50% of the fractures were exposed fractures. According to the Blake & McBryde classification, 6 were Type I and one case Type IIa. Functional results were evaluated according to the Karlström and Olerud criteria; excellent and good results were obtained in 85% of cases. All of the fractures healed; one case of superficial infection was described, one patient presented limb shortening <3 cm and minor limitation of the knee motion range. CONCLUSION: The SIGN intramedullary nail, was efficient and versatile for the treatment of floating knee in adults. It had good functional results (85%) and low incidence of complications. KEYWORDS: FLOATING KNEE, FEMUR FRACTURE, TIBIAL FRACTURE, FRACTURE FIXATION, INTRAME-DULLARY.

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“Joelho flutuante,” uma lesão incomum: análise de 12 casos

Cited by 5 publications

References 25 publications

Pattern and Functional Outcome Of Floating Knee Injury Treated Surgically at Tertiary Hospital, Addis Ababa, Ethiopia. A Retrospective Study

Pattern and Functional Outcome Of Floating Knee Injury Treated Surgically at Tertiary Hospital, Addis Ababa, Ethiopia. A Retrospective Study

Joelho Flutuante: um relato de caso / Floating Knee: a case report

Clavo Intramedular de Sign en Rodilla Flotante: Una serie de casos

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