Single incision nailing of the floating knee--do we ignore the knee ligaments?

The incidence of knee ligament injuries in the floating knee is as high as 53% documented in the literature. The single incision technique (antegrade tibial and retrograde femoral nailing through a single incision at the knee) although a good technique in terms of speed and ease, has its own disadvantages. Repair or reconstruction of a torn anterior or posterior cruciate ligament after a single incision technique can be a difficult proposition. Antegrade femoral and tibial nailing (two incisions) makes treatment of knee ligament injuries easier.