Aim: To assess the outcome after internal fixation of floating knee. Materials and Methods: Hospital based single center cross sectional descriptive type of observational study among 80 patients in the department of Orthopedics in teaching hospitals attached to S.M.S Medical College and hospital. After obtaining clearance and approval from the institutional ethical committee and patients detailed history was obtained using the study proforma with special attention to mechanism of injury. Examination of other associated symptoms was based on history and clinical examination. Open reduction internal fixation of floating knee under spinal anaesthesia under c-arm guidance. Routine antibiotics and analgesic/anti-inflammatory drugs were administered. Post-operative evaluation was carried out by clinical examination and X-ray. Functional assessment and final outcome were measured according to the Karlstrom criteria.