{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:29:27Z","timestamp":1787840967112,"version":"build-2784847793"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T00:00:00Z","timestamp":1743811200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Floating knee injury or ipsilateral fractures of both femur and tibia is a severe injury caused by high-velocity trauma and is often associated with significant and occasionally life-threatening complications. The objectives of this study were to evaluate the early clinical outcomes of acute floating knee injury and to observe the complications related to the treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A total of 15 patients with acute floating knee injuries were included in the study. Baseline data were noted, including demographic details, type of fracture, mode of injury, surgery performed, associated injuries, and complications. For a total duration of 18 months, all the patients were followed up. Karlstr\u00f6m and Orleud\u2019s criteria assessed the clinical outcome at the final follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most (66.7%) patients were Fraser\u2019s type I fractures. The mean duration of the bone union of the femur was 7.79 months, whereas for the tibia, it was 8.21 months. The mean time for weight bearing was 9.71 months. Fraser\u2019s type I had the highest mean range of motion (115.50\u00b0). The most common early complication was knee haemarthrosis, and the most common late complication was delayed union.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Floating knee injury is a severe and rare injury associated with significant morbidity. An individualised approach in management results in a satisfactory outcome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_165_24","type":"journal-article","created":{"date-parts":[[2025,4,7]],"date-time":"2025-04-07T00:02:13Z","timestamp":1743984133000},"page":"380-385","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Short-term Clinical Outcome of Surgically Managed Acute Floating Knee Injury"],"prefix":"10.4103","volume":"15","author":[{"given":"Prashant","family":"Singh","sequence":"first","affiliation":[{"name":"Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajendra Kumar","family":"Beniwal","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Divesh","family":"Jalan","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shivaraj B.","family":"Sajjan","sequence":"additional","affiliation":[{"name":"Central Institute of Orthopaedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4,5]]},"reference":[{"key":"CIT0001-20250905","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":"CIT0002-20250905","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":"CIT0003-20250905","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1007\/s00264-005-0679-x","article-title":"Floating knee injuries: Long-term results of four treatment methods","volume":"29","author":"Dwyer","year":"2005","journal-title":"Int Orthop"},{"key":"CIT0004-20250905","doi-asserted-by":"crossref","first-page":"311","DOI":"10.2106\/JBJS.J.00334","article-title":"Femoral shaft fracture fixation and chest injury after polytrauma","volume":"93","author":"Bone","year":"2011","journal-title":"J Bone Joint Surg Am"},{"key":"CIT0005-20250905","doi-asserted-by":"crossref","first-page":"238","DOI":"10.5435\/00124635-200107000-00003","article-title":"\u201cFloating knee\u201d injuries: Ipsilateral fractures of the femur and tibia","volume":"9","author":"Lundy","year":"2001","journal-title":"J Am Acad Orthop Surg"},{"key":"CIT0006-20250905","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1097\/00005131-199209000-00011","article-title":"Type II floating knee: Ipsilateral femoral and tibial fractures with intraarticular extension into the knee joint","volume":"6","author":"Adamson","year":"1992","journal-title":"J Orthop Trauma"},{"key":"CIT0007-20250905","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/1471-2474-10-7","article-title":"Impact of associated injuries in the floating knee: A retrospective study","volume":"10","author":"Rethnam","year":"2009","journal-title":"BMC Musculoskelet Disord"},{"key":"CIT0008-20250905","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1016\/j.injury.2018.05.019","article-title":"Variables affecting functional outcome in floating knee injuries","volume":"49","author":"Kulkarni","year":"2018","journal-title":"Injury"},{"key":"CIT0009-20250905","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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A case series of ipsilateral femur and tibia fractures around the knee","volume":"32","author":"Piedra-Calle","year":"2022","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"CIT0012-20250905","first-page":"G4","article-title":"Outcomes of surgical management of floating knee injuries","volume":"7","author":"Sagar","year":"2020","journal-title":"Int J Contemp Med Res"},{"key":"CIT0013-20250905","first-page":"544","article-title":"Treatment of floating knee injuries with interlocked intramedullary nailing through a single incision","volume":"21","author":"Tan","year":"2008","journal-title":"Zhongguo Gu Shang"},{"key":"CIT0014-20250905","doi-asserted-by":"crossref","first-page":"S30","DOI":"10.1016\/j.injury.2019.03.016","article-title":"Challenges in the management of floating knee injuries: Results of treatment and outcomes of 224 consecutive cases in 10 years","volume":"50","author":"Rollo","year":"2019","journal-title":"Injury"},{"key":"CIT0015-20250905","doi-asserted-by":"crossref","first-page":"631","DOI":"10.4103\/ortho.IJOrtho_31_17","article-title":"An approach to floating knee injury in Indian Population: An analysis of 52 patients: An analysis of 52 patients","volume":"52","author":"Chavda","year":"2018","journal-title":"Indian J Orthop"},{"key":"CIT0016-20250905","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s00264-005-0661-7","article-title":"Management of ipsilateral femoral and tibial fractures","volume":"29","author":"Oh","year":"2005","journal-title":"Int Orthop"},{"key":"CIT0017-20250905","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-200006000-00006","article-title":"Treatment of floating knee injuries through a single percutaneous approach","volume":"375","author":"Ostrum","year":"2000","journal-title":"Clin Orthop Relat Res"},{"key":"CIT0018-20250905","doi-asserted-by":"crossref","first-page":"240","DOI":"10.2106\/00004623-197759020-00018","article-title":"Ipsilateral fracture of the femur and tibia","volume":"59","author":"Karlstr\u00f6m","year":"1977","journal-title":"J Bone Joint Surg Am"},{"key":"CIT0019-20250905","first-page":"721","article-title":"Contributing factors influencing the functional outcome of floating knee injuries","volume":"29","author":"Yokoyama","year":"2000","journal-title":"Am J Orthop (Belle Mead NJ)"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_165_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:32:29Z","timestamp":1787837549000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_165_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,5]]},"references-count":19,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_165_24","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,5]]},"assertion":[{"value":"2024-11-08","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}