EAS Publisher | Floating Knee Epidemiological and Therapeutic Profile (About 40 Cases)

Floating Knee Epidemiological and Therapeutic Profile (About 40 Cases)

DOI : https://doi.org/10.36349/easjop.2021.v03i01.003

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Abstract: The ipsilateral fractures of the femur and tibia, or floating knee, is a rare injury that is observed almost exclusively in patients with multiple trauma or during high-energy trauma. It include a combination of diaphyseal, metaphyseal and intra-articular fractures of the femur and tibia, with a high incidence of neurovascular, ligament and soft tissue damage. Our work is a retrospective study of 40 patients with floating knees. The circumstances of the fractures are dominated by young men victims of road accidents with an average age of 28 years, the floating knee was part of a severe multiple trauma in 25% of cases, Open fractures represent 71.42% of cases. 71.43% of patients represent type I fractures according to FRASER classification and associated ligament injuries are found in 12.5% of cases. Intramedullary nailing has been the most frequently used method for the osteosynthesis of both bones. The prognosis of these fractures depends mainly on the age, the anatomo-pathological type, the associated lesions and the quality of the treatment.

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Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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