Volume 2, Issue 2 , Pages 69-76, December 2011
The floating knee injury
Article Outline
Abstract
Floating knee injury is described as the simultaneous ipsilateral disruption of skeletal integrity above and below the knee. It is usually associated with high-energy impact and often a part of polytrauma. Management of associated life-threatening injuries should take precedence over the orthopedic injury. The soft tissue trauma to the limb is significant and it is prudent to be wary. Despite a high complication rate, early skeletal stabilization and timely postoperative rehabilitation offer the best chance of a favorable outcome.
Keywords: Damage control , fat embolism , floating knee , ligament laxity , polytrauma
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References
- . The floating knee: ipsilateral fracture of the femur and tibia. Proceedings of the American Academy of Orthopaedic Surgeons . J Bone Joint Surg Am . 1974;56:56
- . Ipsilateral fracture of the femur and tibia . Ipsilateral fracture of the femur and tibia . 1978;60:510–515
- . Combined fractures of the femur and tibia in a single extremity: analytical study of cases at Brooke General Hospital from 1961 to 1967 . J Trauma . 1968;8:1026–1041
- . Ipsilateral fractures of the femur and tibia. A report of fifty seven consecutive cases . J Bone Joint Surg Am . 1984;66:991–1002
- . Floating knee injuries: a high complication rate . Orthopedics . 2010;33:14
- . Ipsilateral fracture of the femur and tibia . J Bone Joint Surg Am . 1977;59:240–243
- . Combined fractures of the femoral and tibial shafts in the same limb . Injury . 1977;8:206–212
- . Prevention of fat embolism by early internal fixation of fractures in patients with multiple injuries . Injury . 1976;8:110–116
- . Early versus delayed stabilisation of femoral fractures: a prospective randomised study . J Bone Joint Surg Am . 1989;71:336–340
- . External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femoral fractures: damage control orthopaedics . J Trauma . 2000;48:613–623
- Changes in the management of femoral shaft fractures in polytrauma patients: fromearly total care to damage control orthopaedics . J Trauma . 2002;53:452–462
- . Fracture of the ipsilateral femur and tibia: emphasis on intra-articular and soft tissue injury . J Orthop Trauma . 1990;4:309–314
- . Type II floating knee; Ipsilateral femoral and tibial fractures with intra-articular extension into the knee joint . J Orthop Trauma . 1992;6:333–339
- . Ipsilateral fractures of the femur and tibia: treatment with retrograde femoral nailing and unreamed tibial nailing . J Orthop Trauma . 1996;10:309–316
- . Simultaneous ipsilateral diaphyseal fractures of the femur and tibia: treatment and complications . Injury . 2001;32:313–315
- . Predictors of outcome of floating knee injuries in adults: 89 patients followed for 2–12 years . Acta Orthop Scand . 2001;72:385–394
- . BMC Musculoskeletal Disord . 2009;10:7–14
- . A new plate for internal fixation – the Dynamic Compression Plate (DCP) . Injury . 1970;2:40–47
- . ‘Floating knee’ injuries: ipsilateral fractures of the femur and tibia . J Am Acad Orthop Surg . 2001;9:238–245
- . Biological effect of continuous passive motion on healing of full thickness defects in articular cartilage . J Bone Joint Surg Am . 1980;62:1232–1251
- . Fat embolism syndrome. A 10-year review . Arch Surg . 1997;132:435–439
- . Fat embolism: an aid to diagnosis . J Bone Joint Surg Br . 1970;52:732–737
- . The incidence of knee ligament injuries in 105 patients with lower limb fractures . J Bone Joint Surg Br . 1985;67:151
- . Injury of knee ligament associated with ipsilateral femoral shaft fractures with ipsilateral femoral and tibial shaft fractures . Injury . 1990;21:398–400
- . Knee ligament injuries combined with ipsilateral tibial and femoral diaphyseal fractures: the ‘floating knee’ . Arch Orthop Trauma Surg . 1991;110:75–77
- . Knee joint stability in a ‘floating knee’ condition . Acta Ortop Bras . 2008;16:32–36
PII: S0976-5662(11)60047-7
doi:10.1016/S0976-5662(11)60047-7
© 2011 Delhi Orthopedic Association. Published by Elsevier Inc. All rights reserved.
Volume 2, Issue 2 , Pages 69-76, December 2011
