Article

Genou flottant
Abstract : Floating knee injuries pose major challenges in management. There is little
information on the patterns of these injuries and the challenges of managing them
in our setting. Patients with floating knee injuries who were seen and treated
over a 5-year period at our center were retrospectively reviewed. The patterns of
the injuries, associated injuries, methods of management and factors that
influenced the outcome were analyzed. Twenty-five patients, consisting of 19
males and 6 females with a mean age of 33.4 +/- 16.04 years, satisfied the study
criteria. All were caused by road traffic injuries, motor cycle crashes
accounting for 19 (76%). Twenty-two (88%) injuries were Blake and McBryde type 1,
while 3 (12%) were of type 2A. Thirty-two percent of the patients had surgical
fixation of both fractures, while 40% of the patients had both fractures managed
non-operatively. Non-operative management strongly correlated with development of
malunion. The results of management of floating injuries in our setting are not
satisfactory. Orthopedic and trauma care should be made accessible to those
requiring it.

Langue : ANGLAIS