dc.contributor.author | Masanja, Kasanzu | |
dc.date.accessioned | 2022-06-21T08:53:52Z | |
dc.date.available | 2022-06-21T08:53:52Z | |
dc.date.issued | 2022-06 | |
dc.identifier.citation | Masanja, K. (2022). Prevalence and patterns of floating knee injury among patients with major musculoskeletal injuries seen at Mulago National Referral Hospital. (Unpublished Master's Dissertation). Makerere University, Kampala, Uganda. | en_US |
dc.identifier.uri | http://hdl.handle.net/10570/10629 | |
dc.description | A dissertation submitted to the Directorate of Research and Graduate Training in partial fulfilment of the requirements for the award of the degree of Master of Medicine in Orthopaedic Surgery of Makerere University, Kampala | en_US |
dc.description.abstract | Introduction; Floating knee injury result from high energy trauma and are usually associated
with injuries to other body parts. Therefore, performing a thorough evaluation to assess the
associated injuries reduces missed injuries rate. Literature highlights floating knee injury as
“more than what meets the eye.
Methodology; This cross-sectional study with 543 major MSS injuries patients admitted at
MNRH from August to October 2021 were included. 57 study subjects with FKI were evaluated
according to demographics, injury mechanism, clinical and radiological presentations and
associated injuries. Chi square test was used for bivariate analysis and all factors with p-value
<0.2 at bivariate analysis were entered for multivariate analysis
Results; The prevalence of FKI in MNRH was 10.5%. Majority of the FKI cases were males
77.2% (n=44). Fraser type 1, IIA, IIB and IIC were 47.4%, 26.3%, 10.5% and 15.8%
respectively. Average age of FKI patients was 30.9. RTC was the leading cause of injury with
motorcycle leading by 78.9%. Open fracture (61.4%) was the commonest presentation of FKI.
82.5 % of FKI patients had associated injuries. Other extremity injuries and head injuries were
the leading associated injuries 56.1% and 49.1% respectively.
Conclusion. The prevalence of FKI was 10.5%, Productive age group, males were affected most
Majority of FKI patients 61.4% had open fracture. Extremity and head injuries were the most
associated injuries. Fraser type I was the commonest pattern. RTC was the leading cause of FKI
with motorcycle taking the majority. Injury mechanism and associated extremity injuries had an
association with getting FKI of higher grade.
Recommendations. The attending clinicians should perform exhaustive evaluation of patients
with FKI so that other injuries are not missed as majority of them were found to have associated
injuries. Supportive investigation like CT in A & E is required to ensure every patient with FKI
is investigated for associated injuries so that they are addressed timely. Multidisciplinary
approach in the management should be considered for every patient with FKI in A&E before
consultation. Administration should plan and allocate resources needed for early definitive
fractures fixation to minimize complication. Large population study should be done to establish
the outcomes of FKI with associated injuries. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Makerere University | en_US |
dc.subject | Floating knee injury | en_US |
dc.subject | Major musculoskeletal injuries | en_US |
dc.subject | Prevalence | en_US |
dc.subject | patterns | en_US |
dc.subject | musculoskeletal injuries | en_US |
dc.subject | injuries | en_US |
dc.subject | Mulago National Referral Hospital | en_US |
dc.subject | Uganda | en_US |
dc.subject | knee injuries | en_US |
dc.title | Prevalence and patterns of floating knee injury among patients with major musculoskeletal injuries seen at Mulago National Referral Hospital | en_US |
dc.type | Thesis | en_US |