title: Use a simple lower limb outrigger frame in intramedullary nailing fixation of a floating knee.
abstract: Closed intramedullary nailing is a classical therapeutic approach for floating knee injuries. An appropriate positioning is critical for a successful surgery. However, there is a lack of an ideal auxiliary device to facilitate the implantation of intramedullary nail. The authors developed a simple lower limb outrigger frame (SLLOF), which is made of nylon, to facilitate the nail implementation process. The SLLOF could be radiolucent and autoclavable. A total of 31 patients with floating knee injury underwent the closed intramedullary nailing assisted by SLLOF. The average operative duration was 91.0 min, and all tibial and femur fractures reached bony union. The SLLOF could assist well insertion of intramedullary nail for the treatment of floating knee injuries, with the advantages of simple operation, less manpower, easy imaging access but less radiation exposure, and more cost-effectiveness.
authors.affiliation: Department of Orthopaedic Surgery, the Affiliated Dongnan Hospital of Xiamen University, 269 Huazhong Road, 363000 Zhangzhou, Fujian, PR China; Orthopaedic Trauma Center of the 175th Hospital of PLA, 363000 Zhangzhou, Fujian, PR China.
authors.forename: W
authors.initials: W
authors.lastname: Chen
authors.affiliation: Longhua Hospital, Shanghai University of Traditional Chinese Medicine, 200032 Shanghai, PR China.
authors.forename: D-Z
authors.initials: DZ
authors.lastname: Tang
authors.affiliation: Department of Orthopaedic Surgery, the Affiliated Dongnan Hospital of Xiamen University, 269 Huazhong Road, 363000 Zhangzhou, Fujian, PR China; Orthopaedic Trauma Center of the 175th Hospital of PLA, 363000 Zhangzhou, Fujian, PR China. Electronic address: guozhimingmail@126.com.
authors.forename: Z-M
authors.initials: ZM
authors.lastname: Guo
authors.affiliation: Zhengzhou University School of Medicine, 450001 Zhengzhou, Henan, PR China.
authors.forename: B
authors.initials: B
authors.lastname: Shi
authors.affiliation: Department of Orthopaedic Surgery, the Affiliated Dongnan Hospital of Xiamen University, 269 Huazhong Road, 363000 Zhangzhou, Fujian, PR China; Orthopaedic Trauma Center of the 175th Hospital of PLA, 363000 Zhangzhou, Fujian, PR China.
authors.forename: B
authors.initials: B
authors.lastname: Lin
authors.affiliation: Department of Orthopaedic Surgery, the Affiliated Dongnan Hospital of Xiamen University, 269 Huazhong Road, 363000 Zhangzhou, Fujian, PR China; Orthopaedic Trauma Center of the 175th Hospital of PLA, 363000 Zhangzhou, Fujian, PR China.
authors.forename: Z-Q
authors.initials: ZQ
authors.lastname: Ding
authors.affiliation: Department of Orthopaedic Surgery, the Affiliated Dongnan Hospital of Xiamen University, 269 Huazhong Road, 363000 Zhangzhou, Fujian, PR China; Orthopaedic Trauma Center of the 175th Hospital of PLA, 363000 Zhangzhou, Fujian, PR China.
authors.forename: K-J
authors.initials: KJ
authors.lastname: Lian
mesh_terms: D000328:Adult; D004867:Equipment Design; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D055815:Young Adult
keywords: Floating knee; Intramedullary nail; Simple lower limb outrigger frame