Kao Feng-Chen, Tu Yuan-Kun, Hsu Kuo-Yao, Su Juin-Yih, Yen Cheng-Yo, Chou Ming-Chih
Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Orthopedics. 2010 Jan;33(1):14. doi: 10.3928/01477447-20091124-04.
Floating knee injuries are usually associated with complications and mortality, regardless of the treatment regimen. Orthopedic surgeons typically recommend various treatment regimens, especially aggressive and early stabilization of both femoral and tibial fractures. Some authors have reported that the complication and mortality rates remain high regardless of the treatment regimen used. The purpose of this retrospective study was to review the long-term results of treatments for floating knee injuries performed at our institution, and also to calculate the distribution of fracture types within patient age groups and the association with complications related to floating knee injury. We retrospectively reviewed medical records and radiographs of 419 floating knee injuries treated for postoperative complications from November 1987 to April 2003. Of the 419 patients with floating knee injuries, 104 (24.8%) developed complications. The result showed that the complication rate was associated with fracture type (open fracture [32.2%; P<.001], Fraser type IIc [36.8%; P<.001], tibial plateau [28.6%; P=.037], and distal tibia [28.6%; P=.035]). This study revealed that the complication rate associated with floating knee injuries remained high, regardless of the treatment regimen used. Surgeons should focus on reducing complications while treating floating knee injuries.
无论采用何种治疗方案，浮动膝损伤通常都伴有并发症和死亡率。骨科医生通常会推荐各种治疗方案，尤其是对股骨和胫骨骨折进行积极早期固定。一些作者报告称，无论采用何种治疗方案，并发症和死亡率仍然很高。这项回顾性研究的目的是回顾我们机构对浮动膝损伤的治疗长期结果，并计算患者年龄组内骨折类型的分布以及与浮动膝损伤相关并发症的关联。我们回顾性分析了1987年11月至2003年4月期间因术后并发症接受治疗的419例浮动膝损伤患者的病历和X光片。在419例浮动膝损伤患者中，104例（24.8%）出现了并发症。结果显示，并发症发生率与骨折类型有关（开放性骨折[32.2%；P<0.001]、弗雷泽IIc型[36.8%；P<0.001]、胫骨平台[28.6%；P=0.037]和胫骨远端[28.6%；P=0.035]）。这项研究表明，无论采用何种治疗方案，与浮动膝损伤相关的并发症发生率仍然很高。外科医生在治疗浮动膝损伤时应专注于减少并发症。
