Ipsilateral Floating Hip and Floating Knee – A Rare Entity

Abstract

Introduction:Ipsilateral floating hip and floating knee are very rare injuries. These injuries so uncommon that only three cases of similar kind have been reported. These injuries are due to high velocity injuries following motor vehicle accidents. Management of such complex injuries is a challenging task even in experienced hands as there are no standard treatment guidelines for such fractures.Case Report:We hereby report a 20 yr old male who sustained ipsilateral floating hip and ipsilateral floating knee injuries following motor vehicle accident. Patient was stabilized initially and later taken up for surgery. Patient was treated with interlocking nail for femur and tibia in the same sitting whereas acetabulam fracture was managed conservatively. At five months all the fractures united well with restoration of good range of motion in both hip and kneeConclusion:Ipsilateral floating knee and floating hip are very rare injuries seen following high velocity motor vehicle accidents. There are no standard guidelines for treatment of those fractures as only a few cases of similar kind have been reported in literature. Early fixation and aggressive mobilization ensures fracture union and fewer complications.

Simultaneous Ipsilateral Floating Hip and Knee: A Complex Combination and Difficult Surgical Challenge

“…Generally, they are indicative of high-velocity trauma especially road traffic accidents as seen in our case. Although floating hip and floating knee are not uncommon, simultaneous floating hip and floating knee on the same limb are very rare combination, and only four reports have been published before [2][3][4]. The management of such injuries remains a surgical dilemma in orthopedics due to their low prevalence and paucity in literature concerning their management.…”

Ipsilateral floating hip and knee, or floating lower limb – A rare case report

“…Kumar et al, treated undisplaced acetabular fracture conservatively and did antegrade nailing of femur and tibia. They found the acetabular fracture to be stable on fluoroscopy [ 8 ]. Abdellatif did a staged approach for the treatment of ipsilateral floating hip and knee injuries.…”

Simultaneous Ipsilateral “Floating Hip” with Hip Dislocation and Femoral Neck and Shaft Fractures Associated with “Floating Knee” Injuries with Patella Fracture and Traumatic Sciatic Nerve Injury

“…These injuries can be life-threatening, and many complications can occur during and after treatment. Simultaneous ipsilateral "floating-hip" and "floating-knee" injuries represent a great challenge and require extensive surgical experience, careful planning, and teamwork because there are no special protocols for the treatment of serious injuries such as these [1][2][3][4].…”