Vaidyanathan Singaravadivelu, Panchanathan Ganesan Jagannath, Moongilpatti Sengodan Mugundhan
Stanley Medical College, Chennai, Tamilnadu, India.
Case Rep Orthop. 2012;2012:913230. doi: 10.1155/2012/913230. Epub 2012 Feb 28.
Floating knee injuries are frequently associated with other concomitant injuries to the ipsilateral limb or other parts of body of which injury to the ipsilateral knee ligaments carries significance for various reasons. A middle-aged man sustained a floating knee injury following RTA. DCS fixation by bridge plating technique for the distal femur and lateral buttress plating by MIPO technique for proximal tibia were planned and executed under spinal anesthesia with image intensifier. In addition, there were patellar tendon rupture along with avulsion of VMO from the medial border of patella and torn MPFL, which we have missed initially. To the best of our knowledge no similar case has been reported in English literature so far. We have reviewed the literature and proposed a different interpretation of Blake and McBride classification.
浮动膝损伤常伴有同侧肢体或身体其他部位的其他合并伤,其中同侧膝关节韧带损伤因各种原因具有重要意义。一名中年男性在道路交通事故后发生了浮动膝损伤。计划在脊髓麻醉下使用影像增强器,采用桥接钢板技术对股骨远端进行DCS固定,并采用MIPO技术对胫骨近端进行外侧支撑钢板固定。此外,还存在髌腱断裂以及股内侧肌从髌骨内侧缘撕脱和内侧髌股韧带撕裂的情况,我们最初漏诊了这些损伤。据我们所知,迄今为止英文文献中尚未报道过类似病例。我们回顾了文献,并对布莱克和麦克布赖德分类法提出了不同的解释。