Abstract
Purpose: The study aimed at presenting a comparison between the modalities of treatment different of floating knee injury at Aswan University Hospital. Materials and Methods: This study is a prospective study including all of our 20 cases of floating knee injuries who were treated utilizing various treatment modalities at Aswan University Hospital between December 2018 and September 2019 with a follow-up period of 12 months Results: Based on the data analysis, nailing is a better modality in floating knee injury (especially with diaphyseal long bone). Moreover, plating is a good choice for distal fractures, the external fixator is considered a choice for limb saving(as in popliteal ischemia, open fractures(OG3), and compartment syndrome). Conclusion: Management of floating knee injury is critical as floating knee injury is not like other fractures. Floating knee injuries are serious injuries with a high rate of complications. Besides being caused by high-energy trauma with extensive skeletal and soft tissue damage, they are also associated with potentially life-threatening injuries of the head, chest, and abdomen. There are multiple controversies in surgical management starting from choosing suitable fixation for each patient according to variable conditions. Floating knee injury remains a challenging orthopedic problem in which regaining good knee function outcome is a major concern. Stable osteosynthesis to achieve rigid fixation and early mobilization should always be attempted.
Highlights
Blake and McBryde described the term ‘floating knee’ for such injuries in the year1975 (Blake & McBryde, 1975; Karlström & Olerud, 1977)
Management of floating knee injury is critical as floating knee injury is not like other fractures
3 cases were diabetic, 1 case was hypertensive and 1 case was renal dialysis, 12 (60%) cases had their injuries as a result of motor car accidents while 8(40%) cases had their injuries as a result of fall from height, 10 (50%) cases had open fractures femur and tibia and 10 (50%) cases had closed femoral and tibial fractures
Summary
Blake and McBryde described the term ‘floating knee’ for such injuries in the year1975 (Blake & McBryde, 1975; Karlström & Olerud, 1977). Floating knee injuries are complex And are further classified into shaft fractures of both bones without the involvement of either fracture into the knee, Type II fractures extended into the knee and were further sub-divided. Journal of Scientific Research in Medical and Biological Sciences https://bcsdjournals.com/index.php/jsrmbs distal femur into the knee, and type IIc involved both the tibial plateau and the distal femur within the knee joint (Fraser et al, 1978). Type II injuries were subdivided into type IIA injury (articular simple) and type IIB injury (articular complex) (Ran et al, 2013). This disruption of the skeletal integrity of the knee is usually the result of a high energy trauma explaining the high rate of associated lesions and complications (Feron et al, 2015)
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