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

Dahmani O, Elrhazi A, Elidrissi M, Shimi M, Elibrahimi A, Elmrini A - J Emerg Trauma Shock (2014)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics (B4), University Hospital Hassan II, Fez, Morocco.

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.

No MeSH data available.


Related in: MedlinePlus

(a) Floating knee type I (b) Double nailing technique all by the knee (c) 11 months follow-up
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Figure 2: (a) Floating knee type I (b) Double nailing technique all by the knee (c) 11 months follow-up

Mentions: According to the classification of Fraser et al.,[4], all our patients have a type I floating knee [Figure 2]. For the femur fracture we had five cases of distal third, four cases of middle third. Concerning the tibia fractures, we found four cases of the middle third, three cases of proximal third and two cases of distal third. According to the Winquist and Hansen's classification,[8] we noted three type I fractures, four type II fractures, and two type III fractures.


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

Dahmani O, Elrhazi A, Elidrissi M, Shimi M, Elibrahimi A, Elmrini A - J Emerg Trauma Shock (2014)

(a) Floating knee type I (b) Double nailing technique all by the knee (c) 11 months follow-up
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4231272&req=5

Figure 2: (a) Floating knee type I (b) Double nailing technique all by the knee (c) 11 months follow-up
Mentions: According to the classification of Fraser et al.,[4], all our patients have a type I floating knee [Figure 2]. For the femur fracture we had five cases of distal third, four cases of middle third. Concerning the tibia fractures, we found four cases of the middle third, three cases of proximal third and two cases of distal third. According to the Winquist and Hansen's classification,[8] we noted three type I fractures, four type II fractures, and two type III fractures.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics (B4), University Hospital Hassan II, Fez, Morocco.

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.

No MeSH data available.


Related in: MedlinePlus