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Oudrhiri, D., Maanouk, R., Baba, H.F., Touondounko, P., Abid, H., El Idrissi, M., et al. (2020) Genouxflottants: Aspects lésionnels et thérapeutiques (à propos de 72 cas). The Pan African Medical Journal, 3, Article 163.
https://www.clinical-medicine.panafrican-med-journal.com/content/article/3/163/full
https://doi.org/10.11604/pamj-cm.2020.3.163.22540

has been cited by the following article:

• TITLE: Floating Knee with Vascular Compression Treated Non-Operatively in a Context of Limited Resources: A Case Report

  AUTHORS: Patrick Ciza Musimwa, Désiré Alumeti, Kaguku Nfundiko, Urban Berg

  KEYWORDS: Floating Knee, Ipsilateral Fractures, Vascular Compression, Orthopedic Treatment, Case Report

  JOURNAL NAME: Open Journal of Orthopedics, Vol.13 No.6, June 30, 2023

  ABSTRACT: Lower limb fractures like floating knees are more common in urban areas of low-income countries. In addition, associated complex lesions are manifestations of polytrauma requiring correct and appropriate management. The treatment is mostly surgical. We present a 19-year-old patient with a floating knee due to ipsilateral femoral and tibial fractures and vascular compression treated with femoral and calcaneus traction followed by a long limb cast. For our patient, the management of the concomitant vascular compression threatening vital and functional prognosis was in focus aiming at avoiding a radical decision such as limb amputation. The non-operative treatment managed to restore the blood supply and save the limb. At the follow-up after 10 months the fractures were clinically healed and radiologically consolidated and the walking capacity was almost restored. Non-surgical treatment accompanied by daily monitoring can prevent the radical solution of amputation in the context of a floating knee with vascular compression. We want to draw attention to the weakness of the existing classifications because they do not take into account vascular lesions as well as the presence of open fractures to define the severity and evaluate the prognosis.