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Simultaneous bilateral floating knee:A case report

World Journal of Clinical Cases 2022年第28期10卷 10172-10179页

作者： Chi-Ming Wu Hung-En Liao Shou-Jen Lan Department of Orthopaedic Jen-Ai HospitalTaichung 42481Taiwan Department of Orthopaedic National Defense Medical CenterTaipei 11490Taiwan Department of Healthcare Administration Asia UniversityTaichung 41354Taiwan Department of Medical Research China Medical University HospitalChina Medical UniversityTaichung 40402Taiwan School of Medical Science Putian UniversityPutian 351100Fujian ProvinceChina

BACKGROUND The phrase “floating knee is a flail knee joint,” referring to ipsilateral femoral and tibial fractures,was first used by Blake and Mc Bryde in *** condition is often caused by a high-energy trauma with often extensive injury to the soft tissues,and is accompanied by life-threatening systemic complications,including head,chest or abdominal injuries and a high incidence of fat *** knee is a severe and uncommon injury *** SUMMARY A 27-year-old man sustained multiple injuries when the electric motorcycle he was riding was hit by a *** injuries included traumatic hypovolemic shock,comminuted and open type II fractures of the left femoral shaft,fracture of the right femoral shaft,comminuted fracture of the bilateral tibial and fibular shaft,and multiple lacerations and abrasions on his forehead,lower lip,neck and *** diagnosis was simultaneous bilateral floating knee complicated with soft tissue *** emergency treatment and the exclusion of life-threating complications,open reduction and internal fixation were successfully performed using plates and screws in the bilateral femoral and tibial *** Simultaneous bilateral floating knee is a rare and severe injury *** treatment is challenging,and *** present a case report of a young adult who suffered from bilateral floating knees during road traffic *** also offer our treatment experience of this complex injury and review past literature.

关键词： Floating knee femoral and tibial fractures High-energy trauma Life-threatening complications Fat embolism syndrome Case report

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