KNEE INJURIES IN FEMUR SHAFT FRACTURES

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KARIMI MOBARAKEH M.; BIGDELI A.A.F.

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Journal Paper

Paper Information

Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2005 | Volume:3 | Issue:4 (12) Page(s): 9-16

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Title

KNEE INJURIES IN FEMUR SHAFT FRACTURES

Author(s)

KARIMI MOBARAKEH M. | BIGDELI A.A.F. | Issue Writer Certificate

Keywords

FEMORAL FRACTUREQ4

ARTHROSCOPYQ3

KNEE JOINTQ3

Abstract

Background: Femoral shaft fracture is one of the most common fractures in high energy trauma patients and can be associated with soft tissue injuries of KNEE JOINT. Recognition of ligamentous and meniscal injuries of knee in acute phase is essential for optimum treatment and prognosis. Polytraumatized patients with femur fracture and knee ligament or meniscus damage present a difficult diagnosis challenge.Methods: Twenty two adult patients with closed or open, displaced, diaphyseal FEMORAL FRACTUREs and no previous knee injury were prospectively studied to look for possible concomitant ipsilateral knee injury. In all cases the mechanism of injury was high energy car accident. Trauma following open reduction and fixation with nail or plate. All patients had an examination under anaesthesia followed by knee ARTHROSCOPY. Results: The results of physical examination showed instability of grade 1 or more in six patients; two positive valgus stress test, one isolated and another with positive anterior drawer test, one positive varus stress test, two positive isolated anterior drawer tests, one isolated positive posterior drawer test. There were also knee effusions in 8 patients. Significant arthroscopic findings consisted of three cases of hemarthrosis; one complete and two partial anterior cruciate ligaments tears and two lateral meniscuses tears. In general, upon physical examination, 6 cases of ligamentous injury were suspected and in knee ARTHROSCOPY five patients had positive findings; and similar findings were confirmed by both tests. Therefore high incidences of ipsilatersal knee injuries (36.3%), including those that were occult, occurred in conjunction with femoral shaft fractures. Conclusions: Based on the above findings, it is recommended to have a high index of suspicion for coexisting knee injury with ipsilateral fracture of femur.

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APA: Copy

KARIMI MOBARAKEH, M., & BIGDELI, A.A.F.. (2005). KNEE INJURIES IN FEMUR SHAFT FRACTURES. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 3(4 (12)), 9-16. SID. https://sid.ir/paper/85266/en

Vancouver: Copy

KARIMI MOBARAKEH M., BIGDELI A.A.F.. KNEE INJURIES IN FEMUR SHAFT FRACTURES. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2005;3(4 (12)):9-16. Available from: https://sid.ir/paper/85266/en

IEEE: Copy

M. KARIMI MOBARAKEH, and A.A.F. BIGDELI, “KNEE INJURIES IN FEMUR SHAFT FRACTURES,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 3, no. 4 (12), pp. 9–16, 2005, [Online]. Available: https://sid.ir/paper/85266/en

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