Floating knee with ipsilateral floating hip injury equivalent variant: A Case report

This report describes a rare case of concomitant ipsilateral pelvic disruption, hip dislocation, a femoral shaft fracture, supra and intercondylar fracture of the femur, and tibial shaft fracture in a young man who suffered a fall from a moving truck. The hip dislocation was reduced under general anaesthesia with a closed procedure. Both femoral shaft and distal femoral fractures were reduced and stabilised with a Judet screw-plate via a posterolateral approach to the femur. The other fractures were treated conservatively. Emphasis was placed on the complex injury around the hip. The surgical management of this constellation of injuries combining a floating knee and a variant of floating hip is discussed in the light of the current principles of management of a multiply injured patient. The authors propose the inclusion of the peculiar injury pattern occurred around the hip in the existing classification systems for floating hip.