Neglected infected floating knee injury: evaluation of closed reduction techniques

Hosny, Gamal Ahmed; Ahmed, Abdel-Salam Abdel-Aleem; Tabl, E.A.

doi:10.1007/s00068-021-01745-6

Cited by 2 publications

(3 citation statements)

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“…Hosny et al ( 31 ) recently reported excellent results in two cases, good in seven, acceptable in seven, and poor in three cases after retrospectively studying 19 cases of neglected infected floating knee patients.…”

Section: Discussionmentioning

confidence: 98%

“…Paul et al ( 18 ) reported 6 (29%) cases of vascular injuries (1 profunda femoral artery, 1 popliteal artery, 3 posterior tibial arteries, and 1 dorsalis pedis artery) and 2 (10%) of nerve trauma in their series of 21 Patients. Hosny et al ( 31 ) reported 4 (21.1%) vascular injuries distributed as 3 popliteal arteries and 1 posterior tibial injury. He also reported 5 (26.3%) nerve injuries involving 2 sciatic nerves and 3 common peroneal nerves.…”

Section: Discussionmentioning

confidence: 99%

“…One scholar reported a single case of femoral fracture non-union and two tibial fractures nonunion in 18 floating knees ( 27 ). Hosny et al ( 31 ) in 19 cases, evaluated the postoperative distribution of complications such as malunion (in three cases), refracture (in two cases), and DVT (in four cases). All patients had pins tract infections and had been managed with close reduction and fixation using Ilizarov principles.…”

Section: Discussionmentioning

confidence: 99%

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The current issues and challenges in the management of floating knee injury: a retrospective study

et al. 2023

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PurposeThe management of floating knee injuries is still controversial and challenging for trauma specialists. This study aims to evaluate the incidence of the floating knee in lower limb trauma, analyzing the challenges in its management, and factors affecting clinical outcomes.MethodsIn this mono-center retrospective study, 36 consecutive patients were included. All individuals were diagnosed with an ipsilateral fracture of the femur and tibia, managed surgically according to their fracture pattern (Fraser classification), and the severity of the injury. The timing for each operation was determined based on the general condition of the patient and the local physiological condition of soft tissues. The patients’ clinical outcomes were finally evaluated based on their Karlstrom and Olerud scores and were categorized as excellent, good, acceptable, fair, or poor.ResultsIn this study, the mean follow-up period was 51.39 ± 16.02 months (11–130 months). Incidence of the floating knee was 2.32% in all lower limb traumas. From this number, 16 patients suffered from floating knee injury in the left lower extremity, and 18 in the right lower limb, while in 2 patients the condition was bilateral. The most common injury mechanism was road traffic accidents, accounting for 28 (77.78%) cases. The outcome was as follows; Excellent to good results in 22 (61.11%) cases, acceptable results in 2 (5.56%) cases, and fair to poor results in 12 (33.33%) cases according to the Karlström–Olerud scoring system. The most frequent early complications were wound infection and deep venous thrombosis in 5 (13.88%) of the cases. The most common late complication was common peroneal nerve palsy recorded in 2 (5.56%) cases.ConclusionThe presence of important concomitant injuries to the floating knee together with poor soft tissue conditions constituted important factors influencing possible management options and may have led to poorer clinical outcomes.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%