Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
A "floating knee" injury, characterized by simultaneous fractures of the femur and tibia, is rare and often associated with significant trauma. This case report details a 20‐year‐old male presenting with a floating knee and associated foot drop, highlighting the clinical management and implications of such injuries. A 20‐year‐old male was involved in A motorbike accident caused extreme pain, edema and deformity of the left leg. He had discomfort, a limited range of motion and an unstable left knee. Neurological examination indicated a foot drop on the left side, indicating a possible peroneal nerve damage. Radiographs revealed a mid‐shaft fracture of the femur and an oblique fracture of the tibia in the left leg. An MRI of the knee verified the existence of a hematoma and indicated a peroneal nerve injury. The patient was stabilized and treated surgically, including open reduction and internal fixation (ORIF) for both fractures. The peroneal nerve was examined and decompressed during the surgery. Postoperative treatment comprised immobilization and progressive recovery. Right side: distal femur with screw and tens with foot drop, proximal tibia with tens fixation and radius and ulna with tens fixed. At the six‐month follow‐up, the patient had increased knee stability and mobility. Despite the initial foot drop, there was a considerable recovery of peroneal nerve function, including partial dorsi flexion. The patient reported less discomfort and an increased quality of life, however full nerve function recovery is still underway. This example highlights the complexities of addressing floating knee injuries, particularly when they are accompanied by neurological abnormalities such as foot drop. Prompt surgical intervention and therapy are critical for a successful recovery. Continuous monitoring of nerve function is required to determine long‐term consequences. Floating knee injuries in young people can result in serious consequences, including nerve damage. A multi disciplinary approach incorporating trauma surgery and rehabilitation is essential for optimum healing and functional restoration.
How to cite this article:
Abhijeet Senapati, Pulin Bihari Das and Subham Panigrahy. Floating Knee with Foot Drop: A Case Report.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.62.65
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.62.65