The intramedullary nailing using a single knee incision for treatment of extraarticular floating knee (nine cases)

Abstract

Context:Floating knee injuries are uncommon and complex injuries. Management of this injury has been variously described in the literature.Aims:We present the outcome of the intramedullary nailing using a single knee incision for treatment of extraarticular floating knee.Materials and Methods:We report a retrospective series of nine patients with extraarticular floating knee.Results:There were seven men and two women with an average age of 35 years. At least one of the fractures was open in three cases. The average Injury Severity Score was 17. According to Fraser's classification, 100% of the cases are type I. All our patients were treated by the intramedullary nailing using a single knee incision. The mean operating time was 146 min. The mean follow-up is 19 months. According to the Karlström criteria, the end results were excellent in two cases, good in four, acceptable in two, and poor in one. Bone union was achieved in eight cases with an average period of 93 days.Conclusions:The intramedullary nailing using a single knee incision has shown in this series better results.

Early Total Care Versus Damage Control Orthopedics in Floating Knee Injury: Analysis of Radiological and Functional Outcomes

“…Type 1 Extra-articular Bidiaphysis fractures -fractures of both the femur and tibia at the diaphysis 50% A previous study recommended that excellent and good outcomes can be regarded as satisfactory results and fair to poor outcomes as unsatisfactory results [14]. In our study, the majority of cases had good to excellent outcomes, while few had fair to poor outcomes.…”

Floating knee with early onset fat embolism: a case report

“…14 Dahmani et al obtained better results using single knee incision technique for intramedullary nailing of both femur and tibia. 15 In our case staged anterograde nailing one week apart was done for femur first followed by tibia to prevent further fat Employment of damage control orthopaedics vs early total care in case of polytrauma, floating knee stands as debate always. Early total care in floating knee with intramedullary nailing even in a stable young patient without lethal triad will worsen the pulmonary complications such as fat embolism syndrome that leads to second hit and worsen the outcome.…”