Management Strategies, Challenges, and Clinico-Radiological Outcomes of Floating Knee Injuries in Jharkhand: A Prospective Study.

backgroundFloating knee injuries, involving simultaneous fractures of the femur and tibia in the same limb, present complex challenges in management. These injuries are often associated with high-energy trauma and carry significant morbidity. AIMS AND

objectivesThis study aims to evaluate the management strategies, challenges, and clinico-radiological outcomes of floating knee injuries in Jharkhand. METHODS AND MATERIALS: A prospective study was conducted involving patients with floating knee injuries treated at a tertiary care center in Jharkhand. Patients were classified based on the Fraser classification system. Treatment modalities included surgical approaches, tailored to the specific needs of each patient. Data on demographics, injury mechanisms, treatment methods, complications, and outcomes were collected and analyzed. Radiological assessments of fracture union were performed at nine, 12, and 18 months post-injury. The study included patients, with ages between 18 and 70 years. At 18 months follow-up, radiological union rates for femur and tibia fractures were assessed. Functional outcomes were assessed using the Karlstrom criteria at 18 months. RESULTS AND

conclusionsFloating knee injuries in Jharkhand predominantly result from high-energy trauma, with road traffic accidents being the leading cause. Effective management requires a multidisciplinary approach, addressing both clinical and socioeconomic challenges. A significant association has been observed between open and closed injury with both radiological and functional outcomes. The study highlights the need for improved healthcare infrastructure and patient education to enhance outcomes.