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Year : 2018  |  Volume : 16  |  Issue : 1  |  Page : 32-35

A case report of ipsilateral multiple long bone fractures with a floating knee complicated by compartment syndrome: A single-theater session, a panacea for early mobilization and rehabilitation

Department of Surgery, Imo State University, Owerri; Department of Surgery, First Choice Specialist Hospital, Nkpor, Anambra State, Nigeria

Correspondence Address:
Thaddeus Chika Agu
Imo State University, Owerri, Nigeria. First Choice Specialist Hospital, Nkpor, Onitsha, Anambra State
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/NJGP.NJGP_22_17

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An ipsilateral femoral and segmental tibial fracture with floating knee is a complex injury that could occur following a fall from height and a compartment syndrome further complicates it. This report highlights the need for the availability of ready implant pack for the emergency surgical management of a complex injury in a single-theater session. A 15-year-old male presented to our level II surgical facility after a fall from the balcony of the 5th floor of a storey building. Clinical evidence of fractures of the left femur and tibia associated with flail knee was noted in addition to early features of compartment syndrome of the leg. Fasciotomy as well as internal fixations of the fractures followed by a quick, uneventful recovery was performed. The severity and type of injuries sustained from accidental falls from heights depend on the height of fall, the pattern of landing, and the hardness of the impact surface. Fractures associated with floating knee and compartment syndrome should be treated as surgical emergency, and the availability of a ready implant pack is absolutely necessary for full intervention in one theater session. Emergency combination of fasciotomy and internal fixation of fractures in floating knee ensures early mobilization and reduces the length of hospital stay.

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