Surgical treatment of type II floating knee: comparisons of the results of type IIA and type IIB floating knee

Hung, Shao-Hung; Lu, Yen-Mou; Huang, Hsuan-Ti; Lin, Yen-Ko; Chang, Je-Ken; Chen, Jian-Chih; Tien, Yin-Chun; Huang, Peng‐Ju; Ch, Chen; Liu, Ping‐Cheng; Chao, David

doi:10.1007/s00167-006-0252-1

Cited by 31 publications

(36 citation statements)

References 17 publications

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“…Hee et al25) suggested a preoperative scoring system that considered age, smoking status at time of injury, injury severity scores, open fractures, segmental fractures and comminution to affect the prognosis of the final outcome of these fractures 26). The associated injuries played a major role in the initial outcome of patients with regard to a delay in initial surgery, prolonged duration of surgery, anesthetic exposure and a delay in rehabilitation 27)…”

Section: Discussionmentioning

confidence: 99%

Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes

Hegazy

2011

Clin Orthop Surg

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BackgroundThis study evaluated the outcomes of surgical management of ipsilateral femoral and tibial fractures in adults.MethodsFifteen 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).ResultsThe extent of bony union according to the Karlstrom criteria was as follows: excellent, 8; good, 4; acceptable, 2; poor, 1.ConclusionsThe 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.

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Section: Discussionmentioning

confidence: 99%

Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes

Hegazy

2011

Clin Orthop Surg

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“…The study suggested identifying the prognosis factors which affects on the final outcome, a proper preassessment system would be executes by taking account of main factors such as at the time of injury-smoking status, severity scores, open fractures, segmental fractures and comminution [21].For primary surgery, delay duration, long-term surgery, exposure to medication, and late treatment, subsequent injuries play an important role in the patient's initial results [22].…”

Section: Discussionmentioning

confidence: 99%

Surgical outcome of ipsilateral fracture of the femur and tibia in adults (floating knee)

Tumbal

Kothadia

2019

Int J Surg Ortho

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Background: Due to the large number of accidents, femur and tibia for Ipsilateral injuries eventually occur; floating injuries are likely to take place. The study was conducted to evaluate the results of surgery for adults with ipsilateral femoral and tibial fractures. Methodology: The study included 15 patients aged 20 to 60. According to Fraser et al, fractures are classified as Type I (5), IIa (3), IIb (4) and IIc (3). Femur fractures were treated using locked intramedullary nails plate-screws, or dynamic condylar screws.Tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The average follow-up period is 2.1 years. Investigations for chest, pelvis, affected lower limbs, including joints and other bone injury were investigated by x-ray. Result: The mean age of the study group was 39.46 years. The time taken from admission to surgery is 2 days (1 to 11 days). The average followup time was 23.5 months (from 20 to 25 months). Most of the cases showed better results (66.7%) in extent of bonyunions, followed by good (20%), acceptable (6.7%) and poor (6.7%), according to the criteria of Karlstrom. Conclusion: Injury and fractures (openness, straightening, congestion) are predictive factors in the floating knee. The complete adequacy of critical injury-related conflicts includes fractures and post-surgical rehabilitation.

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“…Hung et al also found that the intra-articular knee involvement is the most important factor contributing to poorer outcome [11]. …”

Section: Discussionmentioning

confidence: 99%

Floating Knee Injury Associated with Patellar Tendon Rupture: A Case Report and Review of Literature

Vaidyanathan

Ganesan

Sengodan

2012

Case Reports in Orthopedics

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Floating knee injuries are frequently associated with other concomitant injuries to the ipsilateral limb or other parts of body of which injury to the ipsilateral knee ligaments carries significance for various reasons. A middle-aged man sustained a floating knee injury following RTA. DCS fixation by bridge plating technique for the distal femur and lateral buttress plating by MIPO technique for proximal tibia were planned and executed under spinal anesthesia with image intensifier. In addition, there were patellar tendon rupture along with avulsion of VMO from the medial border of patella and torn MPFL, which we have missed initially. To the best of our knowledge no similar case has been reported in English literature so far. We have reviewed the literature and proposed a different interpretation of Blake and McBride classification.

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Surgical treatment of type II floating knee: comparisons of the results of type IIA and type IIB floating knee

Cited by 31 publications

References 17 publications

Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes

Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes

Surgical outcome of ipsilateral fracture of the femur and tibia in adults (floating knee)

Floating Knee Injury Associated with Patellar Tendon Rupture: A Case Report and Review of Literature

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