Surgical Management of Ipsilateral Fracture of the Femur and Tibia in Adults (the Floating Knee): Postoperative Clinical, Radiological, and Functional Outcomes
Clinics in Orthopedic Surgery
;
: 133-139, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-202796
ABSTRACT
BACKGROUND:
This study evaluated the outcomes of surgical management of ipsilateral femoral and tibial fractures in adults.METHODS:
Fifteen patients (13 men, 2 women; mean age, 34.8 years; range, 18 to 65 years) were enrolled in this study. The fractures types were classified according to the classification by Fraser et al. as follows type I (5), type IIa (3), IIb (4), IIc (3). Femur fractures were treated using locked intramedullary nails, plate-screws, or dynamic condylar screws, and tibia fractures were treated with an external fixator (in open fractures), or plate-screws, and locked intramedullary nailing. The mean follow-up duration was 2.2 years (range, 1.3 to 4 years).RESULTS:
The extent of bony union according to the Karlstrom criteria was as follows excellent, 8; good, 4; acceptable, 2; poor, 1.CONCLUSIONS:
The associated injuries and type of fracture (open, intra-articular, comminution) are prognostic factors in a floating knee. The best management of the associated injuries for good final outcome involves intramedullary nailing of both the fractures and postoperative rehabilitation.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Dispositivos de Fixação Ortopédica
/
Prognóstico
/
Fraturas da Tíbia
/
Traumatismo Múltiplo
/
Seguimentos
/
Resultado do Tratamento
/
Fraturas do Fêmur
/
Fixação Intramedular de Fraturas
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Adolescente
/
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Inglês
Revista:
Clinics in Orthopedic Surgery
Ano de publicação:
2011
Tipo de documento:
Artigo
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