The studies influencing these results are: skin opening, joint damage in fractures classified as Fraser stage II, thus we noted 70% excellent and good results in cases of floating knee with at least one open fracture versus 91% for closed floating knees with more satisfactory results for Fraser stage I (57% excellent and good results).
Floating knee can occur at any age with a predominance for young male subjects in the majority of series of literature, which is similar to our series.
AVP represents the etiology of floating knee in 91.66% of cases in our series as well as in all the series of other authors.
The rate of skin opening exceeds half of the cases in most series, as well as our study series and we see that open fractures predominate at the level of the tibia compared to the femur, and this is explained by the fact that at the tibial level the bone is located under the skin at the level of the antero-internal face of the leg.
The majority of authors report the occurrence of floating knee in the context of polytrauma in more than 20% of cases, notably 46.1% for Zrig and 32.2% for Karlstrom with an average ISS score which remains high, which shows the seriousness of the problem. this trauma. Radiologically, Fraser type I is the most reported in the majority of series in the literature.
Intramedullary nailing remains the most used therapeutic method in all series (Table 3). The most reported complications are infection, malunion, joint stiffness and nonunion.
For our functional results, they are consistent with those of the literature with a predominance of excellent and good results in all studies, moreover, open fractures and Fraser stage II fractures remain with an unfortunate prognosis with acceptable to poor results.
