{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:59:42Z","timestamp":1773219582404,"version":"3.50.1"},"reference-count":23,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Purpose: Floating knee (FK) injuries are complex high-energy traumas associated with poor functional outcomes. This study aimed to identify independent predictors of functional prognosis and to develop a novel, multidimensional scoring system to predict long-term functional outcomes. Methods: A retrospective analysis was performed on 182 adult patients with ipsilateral femur and tibia fractures treated between January 2010 and December 2023. Functional outcomes were assessed using the Karlstr\u00f6m\u2013Olerud criteria and dichotomized as excellent\u2013good versus fair\u2013poor. Variables significant in univariate analysis were entered into a multivariate logistic regression model. Independent predictors were used to construct the FKS-score. Predictive performance was evaluated using ROC analysis. Results: Of the 182 patients, 103 (56.6%) achieved excellent\u2013good outcomes, while 79 (43.4%) had fair\u2013poor results. Multivariate analysis identified Fraser IIA\u2013B (OR 2.12), Fraser IIC (OR 3.85), Gustilo I\u2013II (OR 1.42), Gustilo IIIA\u2013B (OR 2.61), Gustilo IIIC (OR 3.22), segmental fractures (OR 2.18), extensor mechanism injury (OR 2.04), vascular injury (OR 4.89), intra-articular extension (OR 1.92), and patella fracture (OR 1.76) as independent predictors of poor functional outcome. The FKS-score, ranging from 0 to 15, demonstrated high predictive accuracy (AUC = 0.89). An optimal cut-off value of \u22659 points yielded a sensitivity of 78% and specificity of 85%. Conclusions: The FKS-score is the first comprehensive prognostic scoring system specifically developed for floating knee injuries. It provides a reliable, practical tool for early risk stratification and the prediction of long-term functional outcomes, thereby supporting clinical decision-making and patient counseling.<\/jats:p>","DOI":"10.3390\/jcm15062109","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T10:53:31Z","timestamp":1773140011000},"page":"2109","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Floating Knee Severity Score (FKS): A Novel Multidimensional Prognostic Model for Predicting Functional Outcomes After Floating Knee Injuries"],"prefix":"10.3390","volume":"15","author":[{"given":"Hakan","family":"Uslu","sequence":"first","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2268-4709","authenticated-orcid":false,"given":"Oguzhan","family":"Cicek","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bedirhan","family":"Sar\u0131","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana Ceyhan State Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u0131rat","family":"Seyfettino\u011flu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y\u00fcksel U\u011fur","family":"Yarad\u0131lm\u0131\u015f","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan Ula\u015f","family":"O\u011fur","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Evren","family":"Karaali","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osman","family":"\u00c7ilo\u011flu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic and Traumatology, Adana City Training and Research Hospital, Adana 01230, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"ref_1","first-page":"13","article-title":"The floating knee: Ipsilateral fractures of the tibia and femur","volume":"68","author":"Blake","year":"1975","journal-title":"South. 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