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Objective Floating knee injuries are complex injuries and are usually caused by highvelocity trauma. These injuries are often associated with life treating injuries, which should take precedent over extremity injuries. The authors reviewed the outcomes of floating knee injuries managed in this institute from 2003 to 2015. Method A retrospective study was conducted of all patients with floating knee injuries from2003 to 2015. Twelve patients were included in the study. Data related to fracture type, associated injuries, treatmentmodalities, and complications were noted. Functional assessment was performed using themodified Karlstromand Olerud criteria after complete bony union. Result The mechanism of injury was motor vehicle accident in all patients. The mean follow up was four years. The mean age of patients was 34.75 year. The mean union time was 6.5 months in femurs and 6.7 month in tibias. The complications were knee stiffness, delayed union, and infection. According to modified Karlstrom criteria, there were three - excellent, five - good, three - fair, and one poor result. Conclusion Floating knee injuries are severe injuries and are usually associated withmultiorgan injuries. Early detection and appropriate management of associated injuries, early fixation of fractures, and postoperative rehabilitation are needed for good outcome. Complications are frequent, in the form of delayed union, knee stiffness, and infection.

Objective Floating knee injuries are complex injuries and are usually caused by highvelocity trauma. These injuries are often associated with life treating injuries, which should take precedent over extremity injuries. The authors reviewed the outcomes of floating knee injuries managed in this institute from 2003 to 2015. Method A retrospective study was conducted of all patients with floating knee injuries from2003 to 2015. Twelve patients were included in the study. Data related to fracture type, associated injuries, treatmentmodalities, and complications were noted. Functional assessment was performed using themodified Karlstromand Olerud criteria after complete bony union. Result The mechanism of injury was motor vehicle accident in all patients. The mean follow up was four years. The mean age of patients was 34.75 year. The mean union time was 6.5 months in femurs and 6.7 month in tibias. The complications were knee stiffness, delayed union, and infection. According to modified Karlstrom criteria, there were three - excellent, five - good, three - fair, and one poor result. Conclusion Floating knee injuries are severe injuries and are usually associated withmultiorgan injuries. Early detection and appropriate management of associated injuries, early fixation of fractures, and postoperative rehabilitation are needed for good outcome. Complications are frequent, in the form of delayed union, knee stiffness, and infection. Resumo Objetivo As lesões do tipo joelho flutuante (FKIs, na sigla em inglês) são complexas e são geralmente causadas por trauma de alta velocidade. Estas lesões são frequentemente associadas a lesões que causamrisco demorte, que devemter precedente sobre lesões nas extremidades. Os autores revisaram os resultados das lesões do tipo joelho flutuante tratadas nesta instituição entre 2003 e 2015. Método Foi realizado um estudo retrospectivo de todos os pacientes com FKIs de 2003 a 2015. Doze pacientes foram incluídos no estudo. Os dados relacionados ao tipo de fratura, lesões associadas, modalidades de tratamento e complicações foram observados. A avaliação funcional foi realizada utilizando os critérios de Karlstrom modificados após a união óssea completa. Resultados Omecanismo de lesão foi acidente automobilísticoemtodos os pacientes.O acompanhamentomédio foi de 4 anos.Amédia de idade dos pacientes foi de 34,75 anos.O tempo médio de união óssea foi de 6,5 meses nos fêmures e de 6,7 meses nas tíbias. As complicações foram rigidez do joelho, união óssea tardia e infecção. De acordo com os critérios modificados de Karlstrom, três resultados foram considerados excelentes, cinco bons, três razoáveis e um resultado foi considerado ruim. Conclusão Lesões do tipo joelho flutuante são graves e são geralmente associadas a lesões de vários órgãos. A detecção precoce e o tratamento adequado das lesões associadas, a afixação precoce das fraturas e a reabilitação pós-operatória são necessários para um bom resultado. As complicações são frequentes, sob a forma de união óssea tardia, rigidez do joelho e infecção.

OBJECTIVE: CLS stem is commonly used today in primary hip arthroplasty, but only a few studies have evaluated their outcome in young high demanding patients. In Indian scenario, many patients require squatting and sitting cross-legged as part of their daily activities placing excessive load on the joint. We evaluated (I) Mid-long term functional and radiological results (II) Influence of age, gender, diagnosis, stem alignment, Canal fill index (CFI) on the outcome (III) Kaplan-Meier survivorship using revision for any reason or for aseptic loosening as an endpoint. METHODS: Retrospective evaluation of 64 THA in 54 patients operated between July 2000 to July 2011 using CLS stem was done. Mean follow-up was 10.3 years (5–14.9 years) with 5 patients lost to follow-up and 4 patients died. Mean age at surgery was 46.8 years (18–78 years). RESULTS: Mean Harris hip score was 89.4 (72–100). Thigh pain was present in 4 hips which were not associated with the sizing of the stem (p = .489). Stable fixation by bony ingrowth was seen in 53 hips (96.4%) and by fibrous ingrowth in 2 cases (3.6%) with no case of loosening seen. Stress shielding was seen as Grade II in 17 hips (30.9%), Grade III in 3 hips (5.4%). Pedestal formation was seen in 9 hips (16.4%) which were statistically associated with varus alignment and CFI

Introduction: High energy intra-articular fractures involving the tibial plateau causes various problems related to management like wound dehiscence, severe comminution leading to malalignment and delayed complications like varus collapse, implant failure and arthritis of knee joint. Aim: This study was done to determine functional, radiological outcome and the complications of Schatzker V and VI tibial plateau fractures treated with bipillar plating with dual plates with a regular follow-up of atleast 3 years. Materials and Methods: Total 34 cases of tibial plateau fracture type V and VI treated with dual plating were studied from January 2011 to December 2013 in KIMS Hospital were followed for minimum of 3 years. The patients were operated through an anterolateral approach for lateral plate and a medial column plate was put through a minimally invasive medial approach or an open posteromedial approach. Results: Total 34 patients were evaluated postoperatively thoroughly for functional outcome using The Knee Society Score and radiological outcomes by Modified Rasmussen Assessment criteria which showed 29 patients (85.29%) had excellent and 5 patients (14.71%) had good objective knee society score. 24 patients (70.59%) had excellent, 8 patients (23.53%) had good and 1patient (2.94%) were each of poor and fair functional knee society score. Eleven patients (32.35%) had excellent, 21patients (61.76%) had good and 2 patients (5.88%) had fair radiological outcome. Conclusion: We conclude that open reduction and internal fixation of high-energy tibial plateau fractures with dual plates via 2 incisions gives excellent to good functional outcome with minimal soft tissue complications. Thus, a minimally invasive approach should be used which helps in preventing soft tissue problems and helps in early wound healing. Fixation done by bipillar plating is important for early mobilization of knee joint. Early mobilization leads to better range of movements and thereby better functional outcome.