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ISSN Druckformat: 1050-6934
ISSN Online: 1940-4379
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Bilateral Floating Knee Injury—Management of a Complex Injury
ABSTRAKT
Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and ipsilateral tibia. Floating knee injuries may include a combination of diaphyseal, metaphyseal, and intra-articular fractures. Floating knee injuries are a group of complex injuries that require a careful assessment. This injury is generally caused by high-energy trauma with often extensive trauma to the soft tissues. There may also be life-threatening injuries to the head, chest, or abdomen and a high incidence of fat embolism. This complex injury has increased in proportion to population growth, number of motor vehicles on the road, and high-speed traffic. Although the precise incidence of a floating knee is not known, it is a relatively uncommon injury. Bilateral floating knee injuries are extremely rare, and there is only one case report in the literature with bilateral floating knee injuries. We present a case report of a 64-year-old lady who suffered a blunt abdominal injury (hemicolectomy and splenectomy) and bilateral floating knees during road traffic accident. We also offer guidance for the treatment of this complex injury, based on literature review.
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Fraser RD, Hunter GA, Waddell JP. , Ipsilateral fracture of the femur and tibia. J Bone Joint Surg Br. 1978;60(4):510–15.
-
Blake R, McBryde A. Jr. , The floating knee: ipsilateral fractures of the tibia and femur. South Med J. 1975;68:13–16.
-
Karlstrom G, Olerud S. , Ipsilateral fracture of the femur and tibia. J Bone Joint Surg Am. 1977;59:240–43.
-
Hung SH, Lu YM, Huang HT, Lin YK, Chang JK, Chen JC, Tien YC, Huang PJ, Chen CH, Liu PC, Chao D., Surgical treatment of type II floating knee: comparisons of the results of type IIA and type IIB floating knee. Knee Surg Sports Traumatol Arthrosc. 2007;15:578–86.
-
Yokoyama K, Tsukamoto T, Aoki S, Wakita R, Uchino M, Noumi T, Fukushima N, Itoman M. , Evaluation of functional outcome of the floating knee injury using multivariate analysis. Arch Orthop Trauma Surg. 2002;122:432–35.
-
Arslan H, Kapukaya A, Kesemenli CC, Necmioğlu S, Subaşi M, Coban V. , The floating knee in adults: twenty-four cases of ipsilateral fractures of the femur and the tibia. Acta Orthop Traumatol Turc. 2003;37:107–12.
-
Hee HT, Wong HP, Low YP, Myers L. , Predictors of outcome of floating knee injuries in adults: 89 patients followed for 2–12 years. Acta Orthop Scand. 2001;72:385–94.
-
Rethnam U, Yesupalan RS, Nair R. , The floating knee: epidemiology, prognostic indicators and outcome following surgical management. J Trauma Manag Outcome. 2007;1:2.
-
Giannoudis PV, Tzioupis C, Green J. , Surgical techniques: how I do it? The Reamer/Irrigator/Aspirator (RIA) system. Injury. 2009 Nov;40(11):1231–36.
-
Giannoudis PV, Tan HB, Perry S, Tzioupis C, Kanakaris NK. , The systemic inflammatory response following femoral canal reaming using the reamer-irrigator-aspirator (RIA) device. Injury. 2010 Nov;41(Suppl 2):S57–S61.
-
Schreiber MV, Tarkin I, Hildebrand F, Darwiche S, Pfeifer R, Cheely J, Giannoudis PV, Pape H., The timing of definitive fixation for major fractures in polytrauma. A matched pair comparison between a US and European level I centres: analysis of current fracture management practise in polytrauma. Injury. 2011;42:650–54.
-
Goris RJ, Gimbrere JS, Niekerk JL. , Early osteosynthesis and prophylactic mechanical ventilation in the multitrauma patient. J Trauma. 1982;22:903.
-
Giannoudis PV, Smith RM, Bellamy MC. , Stimulation of the inflammatory system by reamed and unreamed nailing of femoral fractures. JBJS Br. 1999;81:356–61.
-
Rixen D, Grass G, Sauerland S., Evaluation of criteria for temporary external fixation in risk adapted damage control orthopaedic surgery of femur fractures in multiple trauma patients: evidence based medicine versus reality in the trauma registry of German trauma society. J Trauma.
-
Gugenheim JJ, Probe RA, Brinker MR. , The effects of femoral shaft malrotation on lower extremity anatomy. J Orthop Trauma. 2004 Nov–Dec;18(10):658–64.
-
Tornetta P, Ritz G, Kantor A. , Femoral torsion after interlocked nailing of unstable femoral fractures. J Trauma. 1995;38:213–19.
-
Wu Chi-Ming, Liao Hung-En, Lan Shou-Jen, Simultaneous bilateral floating knee: A case report, World Journal of Clinical Cases, 10, 28, 2022. Crossref