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Comparison of functional outcomes among subtypes of Fraser’s typeⅡfloating knee

Chinese Journal of Traumatology 2021年第1期24卷 25-29页

作者： Deepak Chouhan Devendra k.Chouhan rajendra k.kanojia Prateek Behera Department of Orthopedics Post Graduate Institute of Medical Education&ResearchChandigarh160012India Department of Orthopedics All India Institute of Medical SciencesBhopalMadhya Pradesh462020India

Purpose The poor prognosis in patients with floating knee injuries is mainly contributed to articular involvement(Fraser’s typeⅡ).This study aims to evaluate and compare the functional outcomes among different Fraser’s typeⅡfloating knee injuries after surgical *** Twenty-seven patients with Fraser’s typeⅡfloating knee injuries(54 fractures)between September 2014 and December 2015 were enrolled prospectively in this study and were distributed according to Fraser’s floating knee classification into three different groups as typeⅡA(ipsilateral femoral shaft and tibial intra-articular involvement,n=11),typeⅡB(ipsilateral tibial shaft and femoral intra-articular involvement,n=9)and typeⅡC(both femoral and tibial intra-articular involvement,n=7).The differences among the groups were evaluated and *** functional outcomes of these injuries at one year were analyzed using knee Injury and Osteoarthritis Outcome Score(kOOS)which covers 5 subscales of pain,other symptoms,activities of daily living,sports and recreation,and quality of *** result was also compared with standardized age-sex matched healthy population using paired samples *** All the patients were male,and the injury mechanism was solely roadside *** mean age was 29.8 years and injury severity score 17.9(comparable in all the three groups).Most injuries were observed on the right side(20 cases,74.1%).Based on paired samples t-test,the kOOS score of patients with Fraser’s typeⅡA was found to be better than that of typeⅡB and typeⅡ*** with the reference age-sex matched control group,patients with Fraser’s typeⅡB andⅡC fractures had significantly lower mean score in all kOOS subscales(all p<0.01).However,Fraser’s typeⅡA only revealed significant difference regarding the subscales of activities of daily living(p<0.0001),sports and recreation(p<0.0001),and quality of life(p<0.0001).Conclusion The results of this study show that patients with Fraser’s typeⅡA fractu

关键词： Floating knee Femur fractures Tibia fractures Outcome

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