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BACKGROUND: Floating knee is an injury in which fractures are present both above and below isolating it. It’s a high velocity injury1 frequently associated with multiple fractures and injuries to other organs.2 The management i.e., timing of surgery, no of incisions and the type of implants is still a gray area as several protocols have been advocated. MATERIALS AND METHODS: This study comprises of 97 cases and was conducted in the two tertiary care hospitals of Hyderabad, during a period of 6 yrs i.e., between 2007-2013. The average of the patients is 28.2 years and the Male to Female ratio is 6:1, there were 68 open fractures. Each case is individually assessed and managed. Different implants are used to fix these fractures depending upon the situation and fracture type. RESULTS: All the cases are evaluated after fracture union based on criteria Karlstrom and Olerud. Sixty five patients had union of femoral and tibial fractures with 90 degrees of knee flexion falling into the category of excellent and good results. Complications encountered were Infection, Knee-stiffness, nonunion, malunion, injury to nerves. CONCLUSIONS: There is no fixed protocol in the number of incisions, choice of fixation device, and timing of surgery in the management of floating knee injuries. Each case should be dealt with basing on its merits. The management should be tailormade for that particular case.

A PROSPECTIVE STUDY OF 97 CASES TO ARRIVE AT TREATMENT PROTOCOLS FOR FLOATING KNEE