Keywords : Karlstrom criteria
A STUDY OF FUNCTIONAL OUTCOME OF IPSILATERAL FEMUR AND TIBIA FRACTURES (FRASER’S TYPE II)
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 11827-11842
Background: As a result of high-speed traffic accidents, the frequency of ipsilateral femur and tibia fractures has risen. Because of the complicated fracture pattern and concomitant soft tissue damage, predicting the surgical prognosis of floating knee injuries is challenging. The goal of this research is to examine the functional outcome of a Frasers type II floating knee injury following surgery.
Methods: This is a prospective study done at NIMS, Hyderabad between Nov 2019 and May 2020. The sample size is 20 patients between the age group 20-60 years. The clinical, radiological and functional outcome of these injuries were evaluated using Karlstrom and Olerud criteria.
Results: With a mean age of 35.5 years, there were 18 (90%) males and 2 (10%) females. In our study, 50% of the injuries were type IIC (both were intra-articular), 25% were type IIA, and 25% were type IIB. According to the Karlstrom and Olerud criteria, there were 2 (10%) outstanding, 7 (35%), good, 6 (30%) fair, and 5 (25%), bad outcomes after an average of 12.7 months (range 8 to 18 months) of follow up.
According to Chi square analysis, there is no significant relationship between the factors utilised and functional result, and the strength of the relationship is weak.
Conclusion: Ipsilateral femur and tibia fractures are a more difficult injury that has a higher risk of sequelae.Prognostic indications include concomitant injuries, fracture type (open, intra-articular, comminution), and accompanying patellar fractures. For a satisfactory functional result, early stabilisation and intensive rehabilitation are essential.