Saavedra AL, Vives AHL, Muciño MR, Vázquez MJC, Rodríguez J, Rosas CJL, Bello GA

Language: Spanish
References: 18
Page: 200-206
PDF size: 101.68 Kb.

ABSTRACT

Introduction. Ipsilateral fractures of femur and tibia so called Floating Knee are the result of high energy trauma in a vehicle crash events and needs a complete surgical equipment to obtain favourable results. Objective. To know the several surgical treatments results of ipsilateral fractures of femur and tibia in our Hospital. Material and methods. A Retrospective review of patients with ipsilateral femoral and tibial fractures was performed in a two year period since January l, 2002 to January l, 2004 in the Mexican Red Cross Central Hospital, which purpose is to evaluate the surgical management results of floating knee in Emergency Hospital. Were included 14 male patients with Floating Knee Handled in Emergency Room with External Fixation and subsequently Internal Fixation, the age presentation average was 44 years and the most frequently injury mechanism was knocked down in the public way. These kind of fractures are the result of vehicle crash or very high energy trauma and there are politraumatizated patients and the management is complicated so surgery technique, implants choice and preoperatory planification are essential to diminished after effects and to provide a very soon recovery and a very kind of life for our patients. Results. There were 71.42% of good and excellent results obtained of 12 month monitoring with Karlstrom and Olerud scale. Best results were found in patients treated with intramedullary nailing to both fractures. Bad results were obtained in those who were intraarticular injuries. 9 (64.28%) patients had some complication like infection, knee joint stiffness and knee chronic pain, and l patient (7.14%) need amputation.

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