The floating elbow is an uncommon grievance. It consists of a fracture of the humerus and one or both bones of the homolateral proximal forearm [1] . We present a composite pattern of floating injury, which included distal humerus fracture with intraarticular extension of the humerus and associated ipsilateral proximal fracture of radius and ulna. Pleasing outcomes were finally gained after operative management and early physiotherapy. This clinical case exemplifies the importance of judiciously assessing floating elbow injuries when they occur to improve the surgical strategies and the adequate timing of the treatment to obtain optimal results.