The floating knee in adults: twenty-four cases of ipsilateral fractures of the femur and the tibia

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dc.contributor.authorArslan H.
dc.contributor.authorKapukaya A.
dc.contributor.authorKesemenli C.C.
dc.contributor.authorNecmioglu S.
dc.contributor.authorSubaşi M.
dc.contributor.authorCoban V.
dc.date.accessioned2024-04-24T17:58:41Z
dc.date.available2024-04-24T17:58:41Z
dc.date.issued2003
dc.departmentDicle Üniversitesien_US
dc.description.abstractOBJECTIVES: We evaluated the presenting features of ipsilateral femoral and tibial fractures in adults, and the effects of both fracture type and severity of skeletal injury on the results. METHODS: The study included 24 patients (22 men, 2 women; mean age 38 years; range 17 to 75 years). According to the classification by Letts et al., the types of the fractures were as follows: type A (7), type B (2), type C (5), type D (7), and type E (3). Femur fractures were treated by locked intramedullary nails, AO plates, plate-screws, unilateral external fixator, or dynamic condylar screws, and tibia fractures by external fixator, plate-screws, locked intramedullary nailing, or with conservative methods. Amputation at the fracture level was required in a patient with type 3C open tibia fracture. The mean follow-up was 3.2 years (range 1.3 to 7 years). RESULTS: According to the criteria by Kalström and Olerud, the results were excellent in three patients, good in nine patients, fair in five patients, and poor in six patients. The mean skeletal injury scores were 4.4 and 3 in patients having fair and poor results and in those with good and excellent results, respectively. Fair and poor results corresponded to type A (1 patient), type C, type D, or type E fractures. Five patients with type 3 open fractures had fair or poor results. Thirteen patients (54%) had at least one complication. CONCLUSION: Patients with type C, D, or E fractures and those with greater skeletal injury scores are more likely to have fair or poor results due to the open nature of the fracture and to increased involvement of the knee joint. Although there is not an ideal method, rigid internal fixation seems to be more appropriate in fractures other than type 3 open tibia fractures.en_US
dc.identifier.endpage112en_US
dc.identifier.issn1017-995X
dc.identifier.issue2en_US
dc.identifier.pmid12704248
dc.identifier.scopus2-s2.0-0038315173
dc.identifier.scopusqualityQ2
dc.identifier.startpage107en_US
dc.identifier.urihttps://hdl.handle.net/11468/24057
dc.identifier.volume37en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.relation.ispartofActa orthopaedica et traumatologica turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleThe floating knee in adults: twenty-four cases of ipsilateral fractures of the femur and the tibiaen_US
dc.titleThe floating knee in adults: twenty-four cases of ipsilateral fractures of the femur and the tibia
dc.title.alternativeYirmi dört olguda ipsilateral femur ve tibia kirigi: Erişkinlerde "floating knee"en_US
dc.title.alternativeYirmi dört olguda ipsilateral femur ve tibia kirigi: Erişkinlerde "floating knee"
dc.typeArticleen_US

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