Functional outcome of surgical management of floating knee injuries in adults (Ipsilateral femoral and tibia fractures) and its prognostic indicators

Abstract

Worldwide osteoarthritis is the most common joint disorder. It results from mechanical and biological events that destabilize the normal processes of degradation and synthesis of articular cartilage chondrocytes, extracellular matrix and subchondral bone. These changes include increased water content, decreased proteoglycan content and altered collagen matrix, leading to the degeneration of articular cartilage. There is trend on rise to use platelet rich plasma to promote healing of the degenerated cartilage. The aim of the study was to evaluate whether the newer method i.e platelet rich plasma has any significant advantage. The study included a total of 50 cases with individuals ageing greater than 40 years. Patients without evidence of degenerative arthritis and with KL grade 3 and grade 4 were excluded from the study. At 1 month only 14% cases showed excellent, 68% cases showed and. 18% cases showed fair results. At 3 months follow up 16% cases showed excellent, 82% cases showed good and fair results were seen in 2% cases. No case had poor results. At 6 months follow up 16% cases showed excellent, 86% cases showed good and 6% cases showed fair results and no case had poor results. Platlet rich plasma is an excellent method of treatment in early osteoarthritis of knee.

Outcome of Surgical Management of Ipsilateral Femur and Tibia Fracture: The Floating Knee Injury

“…The spectrum of these fractures ranges from simple diaphyseal fractures to complex intra-articular fractures involving the combinations of diaphyseal and metaphyseal fractures. 1 These fractures results from a high energy trauma such as high speed motor vehicle accidents and often associated with multisystem injuries, therefore they carry high rate of morbidity and mortality. These fracture are often associated with soft tissues damage, meniscal, ligamentous and vascular injuries and their complications.…”