Keywords
hip
lower leg
floating knee
polytrauma
treatment
classification
traumatogenesis
road traffic accident
catatrauma
How to Cite
Abstract
Introduction. Ipsilateral fractures of the femur and tibia involving the diaphyseal, metaphyseal, and intra-articular segments of the bones are referred to as a «floating knee». A floating knee typically results from high-energy trauma, during which patients sustain severe and sometimes life-threatening injuries.
Objective. Our study aimed to determine the causes of different types of ipsilateral lower limb fractures and their distribution in patients with polytrauma.
Materials and Methods. The study included 67 patients with verified ipsilateral femoral and tibial fractures with polytrauma. This cohort was treated at Odesa City Clinical Hospital No. 11 between 2013 and 2023.
Results. Analysis of the study cohort revealed that the traumatogenesis of injuries among patients with ipsilateral injuries of the lower extremities resulting from polytrauma was similar across the groups. In the first group, road traffic accidents prevailed as the cause of injury, accounting for 79.5% of cases. Catatrauma was observed in 18.2% of patients, while domestic trauma occurred in 2.3%. In the second group, road traffic accidents accounted for 78.3% of cases, and catatrauma for 21.7%; no domestic injuries were reported in this group.
Conclusions. Ipsilateral injuries of the lower extremities are severe injuries resulting from high-energy trauma, with road traffic accidents and catatrauma being the prevailing causes. In the study cohort, the most frequent combination was craniocerebral and thoracic trauma, which significantly complicated the provision of medical care to this category of patients. Among patients with ipsilateral injuries of the lower extremities resulting from polytrauma, Fraser type I injuries were the most common, indicating the peculiarities of the treatment of this type of fractures in patients with polytrauma.
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