Floating Knee is the traumatic ipsilateral fracture of both the femur and tibia where the knee is disconnected from the rest of the limb.
Classifications
Management of Floating Knee
Mostly due to high-energy trauma so Begins with ALTS
Hemodynamic stability is the most
DCO: Done with the external fixator
See Also: Damage control orthopedics (DCO)
Definitive treatment
Femoral nailing is performed 1st while the tibia with stabilized with the external fixator
If the tibia is stabilized 1st, the movement and deformation of the femur during surgery would cause greater damage to soft tissue and increase the risk of the patient’s general condition : Increase the risk of fat embolism
Epiphyseal fractures: Treated with plates and screws
