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The Treatment of the Floating Knee in Children

Objective:To discuss the necessity and superiority of the operation in the children of floating knee injury.Methods:12 pediatric cases of floating knee injury were reviewed retrospectively.In 11 cases,at least one of fractures was fixed by operation.The fracture of tibia was fixed by external fixator,and the fracture of femur was fixed by steel plate.The average length of follow-up period were 26 months.The efficacy of the treatment was scored by Karlstroms criteria.Results:Twelve children were all followed up.No nonunion was found.Functional evaluation showed that 7 cases had an excellent result,3 good and 2 fair,no poor case is found.Conclusion:For children whose age are older than 6 years,it's a good selection that at least one of fractures is fixed by operation.This method can be advantageous for the nursing care、reduce hospital stay and decrease time to unsupported weightbearing.