PMC6742877_01
Floating Knee with bent implant in situ
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F1
A locking distal femoral locking plate was present and had bent (Fig. 1).
(a-c) Floating knee with knee-spanning fixator in situ.
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F2
As per records, he had 3*2cm wound on anterior aspect of thigh which was thoroughly washed, debrided, and sutured and damage control surgery was done in the form of knee-spanning fixator (Fig. 2)and the patient was put on intravenous antibiotics. The right lower limb X-rays revealed knee-spanning external fixator with fracture of lower end femur and proximal end tibia with bent implant in situ (Fig. 2).
(a-e) Chest, cervical spine, and pelvis X-rays as a part of routine trauma protocol.
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F3
As a part of repeat evaluation, all his necessary X-rays were retaken(Fig. 3)which revealed resolution happening in bilateral hemothorax.
(a and b) Skin incision used for fixing the fractures.
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F4
The distal femur was opened through lateral approach using liberal skin incision(Fig. 4).
(a and b) Immediate post-operative X-rays.
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F5
Immediate post-operative X-rays revealed satisfactory alignment of both fractures, (Fig. 5).
(a and b) Distal radius fracture.
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F6
We could not ambulate the patient as he had another fracture in the wrist in the recent past, (Fig. 6).
(a and b) X-rays at 6 weeks.
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F7
An X-ray was taken at 6 weeks post-operative which revealed satisfactory alignment(Fig. 7) and toe touch weight-bearing with long knee brace was started under supervision of trained physiotherapists.
(a-d) Solid union at the end of 6 months.
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F8
At the latest follow-up of 6 months, the patient had radiological and clinical evidence of union (Fig. 8).
Knee range of motion.
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F9
The foot drop was also recovering and there was no extension lag and knee flexion was upto 90  (Fig. 9).