{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T13:43:04Z","timestamp":1791726184325,"version":"4.3.4"},"reference-count":41,"publisher":"Bioscientifica","issue":"11","license":[{"start":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T00:00:00Z","timestamp":1770854400000},"content-version":"vor","delay-in-days":3390,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.bioscientifica.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>In 1975, Blake and McBryde established the concept of \u2018floating knee\u2019 to describe ipsilateral fractures of the femur and tibia.1 This combination is much more than a bone lesion; the mechanism is usually a high-energy trauma in a patient with multiple injuries and a myriad of other lesions. After initial evaluation patients should be categorised, and only stable patients should undergo immediate reduction and internal fixation with the rest receiving external fixation. Definitive internal fixation of both bones yields the best results in almost all series. Nailing of both bones is the optimal fixation when both fractures (femoral and tibial) are extra-articular. Plates are the \u2018standard of care\u2019 in cases with articular fractures. A combination of implants are required by 40% of floating knees. Associated ligamentous and meniscal lesions are common, but may be irrelevant in the case of an intra-articular fracture which gives the worst prognosis for this type of lesion.<\/jats:p>\n                  <jats:p>Cite this article: Mu\u00f1oz Vives K, Bel J-C, Capel Agundez A, Chana Rodr\u00edguez F, Palomo Traver J, Schultz-Larsen M, Tosounidis, T. The floating knee. EFORT Open Rev 2016;1:375-382. DOI: 10.1302\/2058-5241.1.000042.<\/jats:p>","DOI":"10.1302\/2058-5241.1.000042","type":"journal-article","created":{"date-parts":[[2016,11,18]],"date-time":"2016-11-18T22:00:44Z","timestamp":1479506444000},"page":"375-382","update-policy":"https:\/\/doi.org\/10.1530\/crossmarkpolicy-16","source":"Crossref","is-referenced-by-count":37,"title":["The floating knee: a review on ipsilateral femoral and tibial fractures"],"prefix":"10.1530","volume":"1","author":[{"given":"Josep","family":"Mu\u00f1oz Vives","sequence":"first","affiliation":[{"name":"1Hospital Nostra Senyora de Meritxell, Andorra, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Christophe","family":"Bel","sequence":"additional","affiliation":[{"name":"2Hospices Civils de Lyon, Lyon, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arantxa","family":"Capel Agundez","sequence":"additional","affiliation":[{"name":"3Hospital Universitario 12 de Octubre, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francisco","family":"Chana Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"4Hospital General Universitario Gregorio Mara\u00f1\u00f3n, Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Palomo Traver","sequence":"additional","affiliation":[{"name":"5Hospital General de Castell\u00f3, Castell\u00f3 de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten","family":"Schultz-Larsen","sequence":"additional","affiliation":[{"name":"6Odense Universitetshospita, Odense, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodoros","family":"Tosounidis","sequence":"additional","affiliation":[{"name":"7Leeds General Infirmary, Leeds, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"416","published-online":{"date-parts":[[2016,11,18]]},"reference":[{"key":"2026070711125369300_bibr1-2058-5241.1.000042","first-page":"13","article-title":"The floating knee: ipsilateral fractures of the tibia and femur","volume":"68","author":"Blake","year":"1975","journal-title":"South Med J"},{"key":"2026070711125369300_bibr2-2058-5241.1.000042","first-page":"627","article-title":"Le genou flottant: \u00e9tude r\u00e9trospective de 172 cas","volume":"93","author":"Pi\u00e9tu","year":"2007","journal-title":"Revue de Chirurgie Orthop\u00e9dique"},{"key":"2026070711125369300_bibr3-2058-5241.1.000042","doi-asserted-by":"crossref","first-page":"510","DOI":"10.1302\/0301-620X.60B4.711798","article-title":"Ipsilateral fracture of the femur and tibia","volume":"60-B","author":"Fraser","year":"1978","journal-title":"J Bone Joint Surg [Br]"},{"key":"2026070711125369300_bibr4-2058-5241.1.000042","doi-asserted-by":"crossref","first-page":"991","DOI":"10.2106\/00004623-198466070-00004","article-title":"Ipsilateral fractures of the femur and tibia. 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