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

ABSTRACT

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 ayoung 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 injuredpatient. The authors propose the inclusion of the peculiar injury pattern occurred around the hip in the existing classification systems for floating hip