Journal List > J Korean Soc Fract > v.8(3) > 1078258

TOOLS
Hahn and Koh: Treatment of Ipsilateral Fracture of the Femur and Tibia("Floating Knee")
Original Article

Journal of the Korean Society of Fractures 1995; 8(3): 488-496.

Published online: 8 July 2016

DOI: https://doi.org/10.12671/jksf.1995.8.3.488

Treatment of Ipsilateral Fracture of the Femur and Tibia("Floating Knee")

Soo Bong Hahn, Gang Hee Koh

Department of Orthopaedic surgery, Yonsei University College of Medicine, Seoul, Korea.

Copyright © The Korean Fracture Society

Abstract

Concomitant ipsilateral femoral and tibial fractures present a challenging therapeutic problem. They are generally caused by high-energy trauma, primarily motor-vehicle accidents, and the local trauma to the soft tissue is often extensive.
We retrospectively reviewed 48 cases of the ipsilateral fracture of femur and tibia from March 1983 to March 1993 and analyzed the clinical and functional results.
The results were as follows.
1. The most common site of fracture was middle one-third and the most common type of the fracture was comminuted in both femur and tibia.
2. The most common associated injury was concomitant fracture and dislocation of other sites(28 cases) and fat embolism was developed in 4 cases and compartment syndrome was developed in 3 cases.
3. Satisfactory reults were achieved in 72% of the patients treated with internal fixation of both fracture, 63% of the patient with internal fixation for the femur and 43% of the patients managed conseuatively.

Keywords: Femur and Tibia, Ipsilateral Fracture, Floating Knee

TOOLS
Similar articles