Ochoa OL, Pérez-Salazar MD, Dabagui RA, Domínguez BCA

Language: Spanish
References: 27
Page: 292-299
PDF size: 140.32 Kb.

ABSTRACT

Background: Floating knee is a severe injury, worse prognosis if articular. Intramedullary nailing is the ideal method of treatment. The functional evaluation following the Karlström and Olerud criteria is well accepted. The functional prognosis was evaluated using this scale, correlating: type of injury and associated injury treatment with functional results. Methods: Case review observational study (March 2006 to December 2011). We applied Spearman Rho correlation between results (significant p ‹ 0.05). Results: Total of 43 patients. Fraser 1 for 76.7% of injuries. No correlation between open fractures (48.8%) and poor functional results; 58.1% presented with associated injuries; there was no correlation between associated injuries and poor functional results. Intramedullary nailing was the most common treatment (65%), there was a correlation between the Fraser 1 classification and treatment with the nail (p 0.001). Good functional results for 49% of patients. Of the poor results, 83% presented with amputation. Significant correlation between amputation and bad functional outcomes (p = 0.002). Non-significant correlation between type of injury (articular or diaphysial) and treatment (nail, plate and screws) with good or bad functional results. Conclusions: Functional analysis turns difficult with associated injuries in the floating knee. There was no significant relationship between associated injuries and poor results, thus the good functional results displayed, may be reliable.

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