Background: This study evaluated the role of physiotherapy in functional outcome of operatively treated floating knee injuries. Methods: Twenty patients (19 men, 1 women; mean age, 30 years; range 25 to 60 years) were enrolled in this study. The frac­tures types were classified according to the classification by Blake and McBrydes as follows: type I (18), type IIa (2),type IIb (0).Femur fractures were treated using femur interlock nails either antegrade or retrograde or locking compression plate and tibia fractures were treated with either locking compression plate ortibial interlocking nails. Early physiotherapy was initiated. Follow up study was done at 4 weeks, 8 weeks, 6 months and 1 year. Results: According to Karlstrom and Olerued Criteria the overall functional outcome was: Excellent in 8, Good in 4, fair in 4 and Poor outcome in 4. Conclusions: physiotherapy forms an important part of management for better functional outcome of floating knee injuries.