Bilateral Floating Knee Injury—Management of a Complex Injury

Alexandros P. Apostolopoulos; Stavros Angelis; Salma E.  Elamin; Glenn  Clewer

doi:10.1615/JLongTermEffMedImplants.2019030557

器官移植长期效应期刊

总编辑: Subrata Saha (open in a new tab)

每年出版 4 期

ISSN 打印: 1050-6934

ISSN 在线: 1940-4379

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Bilateral Floating Knee Injury—Management of a Complex Injury

卷 29, 册 1, 2019, pp. 1-6

DOI: 10.1615/JLongTermEffMedImplants.2019030557

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Alexandros P. Apostolopoulos
Trauma and Orthopaedic Department, "Korgialenio-Benakio" Hellenic Red Cross Hospital, Athens, Greece; Trauma and Orthopaedic Department, Ealing Hospital, North West University Healthcare NHS Trust, London, United Kingdom

Stavros Angelis
Second Orthopedic Department, Panagiotis & Aglaia Kyriakou Children's Hospital, Athens, Greece; Trauma and Orthopedic Department, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, Greece; Department of Anatomy, School of Medicine, National and Kapodistrian University of Athens, Greece

Salma E. Elamin
Trauma and Orthopaedic Department, Prince Charles Hospital, London, UK

Glenn Clewer
Trauma and Orthopaedic Department, Prince Charles Hospital, London, UK

摘要

Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent metaphyses of the femur and ipsilateral tibia. Floating knee injuries may include a combination of diaphyseal, metaphyseal, and intra-articular fractures. Floating knee injuries are a group of complex injuries that require a careful assessment. This injury is generally caused by high-energy trauma with often extensive trauma to the soft tissues. There may also be life-threatening injuries to the head, chest, or abdomen and a high incidence of fat embolism. This complex injury has increased in proportion to population growth, number of motor vehicles on the road, and high-speed traffic. Although the precise incidence of a floating knee is not known, it is a relatively uncommon injury. Bilateral floating knee injuries are extremely rare, and there is only one case report in the literature with bilateral floating knee injuries. We present a case report of a 64-year-old lady who suffered a blunt abdominal injury (hemicolectomy and splenectomy) and bilateral floating knees during road traffic accident. We also offer guidance for the treatment of this complex injury, based on literature review.

键词: polytrauma patient, floating knee, damage control

参考文献

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