Polytrauma
A 32-year-old motorcyclist is brought to the emergency department following a high-speed collision. He has an isolated limb injury with a closed mid-shaft femur fracture and a closed proximal third tibia fracture on the same side. The knee is grossly unstable. He is hemodynamically stable after initial resuscitation. Radiographs confirm ipsilateral femoral and tibial shaft fractures with no intra-articular extension. Regarding floating knee injuries:
Mark each as TRUE or FALSE
A floating knee is defined as ipsilateral femoral and tibial fractures that disconnect the knee join...
The mechanism is typically high-energy trauma (motor vehicle accidents, motorcycle crashes); associa...
Floating knee is a low-energy injury; vascular injury is rare; the popliteal vessels are protected; ...
Treatment is usually operative fixation of both fractures; options include retrograde femoral nailin...
Type II fractures have worse outcomes than Type I due to articular involvement; knee stiffness is th...
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Click T (True) or F (False) for each option