COMPARATIVE ANALYSIS OF OPEN AND CLOSED FLOATING KNEE INJURIES

ABSTRACT Objective: To compare the functional outcomes between floating knee injuries with open femur and tibia fractures and closed floating knee injuries. Methods: Floating knee injuries (followed up and treated in our clinic) were retrospectively analyzed. Patients were divided into two groups: floating knee injuries with open femur and tibia fractures (Group 1) and floating knee injuries with closed femur and tibia fractures (Group 2). Patients were compared according to their demographic characteristics and clinical and functional outcomes. Results: Of 52 study patients, 28 had Group 1 injuries and 24, Group 2 injuries. We found a statistically significant difference in length of hospital stay between the two groups (p = 0.01) and a statistically significant difference in Karlström-Olerud functional scores between the groups (p = 0.02). We found osteomyelitis in five (17%) patients in Group 1 and in one (4%) patient in Group 2. Conclusion: Patients with floating knee injuries and open fractures showed poorer outcomes than those with closed fractures. Those with open floating knee injuries show complications more often and longer hospital stays. Level of Evidence III, Therapeutic Studies Investigating the Results of Treatment

An archetypal inquiry into the gambler's counterfeit quest for wholeness : a phenomenological-hermeneutics investigation

ix, 232 leaves ; 29 cm.A phenomenological-hermeneutic method of study was employed to ascertain whether archetypal psychology could contribute to the biopsychosocial model's understanding of gambling pathology. After analysis, four-stage process was brought to light, consisting of 16 themes. These themes chronologically illustrated the journey of becoming and recovering from pathological gambling disorder from inception to the present day. Equally, these themes illustrated developmental aspects of the individuation process and displayed how the archetypes' manifestation and integration helped to restore ego functioning leading to an established and sustained recovery process. In all, these stages demonstrate and suggest that archetypal psychology can make a viable contribution to the biopsychosocial model's understanding of gambling pathology. Therefore, the study's findings may support further study between archetypal psychology and gambling pathology, as this perspective may have important insights toward helping pathological gamblers gain a foothold on their addictive process leading to a meaningful and purposive future