{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:38:15Z","timestamp":1788586695281,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jocr"],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:p>Introduction: Floating knee injuries were first described in 1975 by McBryde as concurrent femur and tibial fractures in an ipsilateral limb. They usually occurred in a polytrauma setting and presented with poor functional outcomes with frequent post-operative complications. Management of this injury was based on patient and fracture characteristics and can be done by external fixators, plating, and nailing.  Case Report: A 24-year-old female presented with bilateral floating knees. She was operated on for a left femoral fracture with retrograde nailing when she developed tachycardia and underwent external fixation of the remaining fractures. She later developed a fat embolism which was managed accordingly for the same. After adequate stabilization, her right femur and tibia fractures were fixed by intramedullary nailing through a single percutaneous approach along with nailing for the left tibial fracture. She has satisfactory clinical outcomes on follow-up.  Conclusion: Bilateral floating knee injuries are extremely rare injuries and should be managed on an emergency basis. Intraoperative and post-operative complications should be anticipated and managed accordingly. Good functional outcomes can be obtained by intramedullary nailing.  Keywords: Floating knee, retrograde femoral nailing, and fat embolism.<\/jats:p>","DOI":"10.13107\/jocr.2024.v14.i02.4206","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T09:41:29Z","timestamp":1708422089000},"page":"29-33","source":"Crossref","is-referenced-by-count":5,"title":["Bilateral Floating Knee Injuries Managed by Intramedullary Nailing \u2013 An Unusual Injury"],"prefix":"10.13107","volume":"14","author":[{"name":"Subham hospital, Coochbehar , West Bengal,","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santanu","family":"Kar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pon Aravindhan A","family":"Sugumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijay","family":"Sharma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamran","family":"Farooque","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritvik","family":"Janardhanan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopedics, All India Institute of Medical Sciences, New Delhi, India,","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madhan","family":"Jeyaraman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopaedics, ACS Medical College and Hospital, Dr MGR Educational and Research Institute, Chennai, Tamil Nadu 600056, India.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2024]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T09:41:32Z","timestamp":1708422092000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2024\/02\/10\/bilateral-floating-knee-injuries-managed-by-intramedullary-nailing-an-unusual-injury\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024]]},"published-print":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2024.v14.i02.4206","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]}}}