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Management of the Floating Knee in Polytrauma Patients
1Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol. University of Malaga, Spain.
The Open Orthopaedics Journal
|August 28, 2015
Summary
Floating knee injuries, or ipsilateral femur and tibia fractures, are rare in high-energy trauma. Optimal treatment requires careful consideration of patient condition, fracture type, and associated injuries for best functional outcomes.
Area of Science:
- Orthopedic Surgery
- Trauma Medicine
- Biomechanics
Background:
- Ipsilateral femur and tibia fractures, termed floating knee, are uncommon injuries.
- These fractures typically occur in polytrauma or high-energy impact incidents.
- Floating knee injuries often involve complex diaphyseal, metaphyseal, and intra-articular components.
Purpose of the Study:
- To highlight the complexity of floating knee injuries.
- To emphasize the critical role of therapeutic approach in patient outcomes.
- To underscore the importance of considering associated injuries in treatment planning.
Main Methods:
- Review of existing literature on floating knee injuries.
- Analysis of treatment strategies for complex fractures.
- Emphasis on multidisciplinary team approach.
Main Results:
- Floating knee injuries present a high incidence of neurovascular, ligamentous, and soft-tissue damage.
- Treatment decisions are individualized based on patient's general condition, fracture patterns, and soft tissue status.
- Potential interference between surgical techniques for associated injuries must be evaluated.
Conclusions:
- Effective management of floating knee injuries necessitates a comprehensive evaluation of all associated injuries.
- Ligamentous injuries are more significant in floating knee cases than in isolated fractures.
- An experienced multidisciplinary team is essential for optimal patient management and outcomes.
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