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

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Medical Case Reports

Background:

• Simultaneous ipsilateral floating hip and floating knee is an exceedingly rare injury pattern.
• This specific combination of injuries has been documented in only four previous cases worldwide.
• Such injuries are typically associated with high-energy mechanisms and potentially life-threatening concomitant conditions.

Observation:

• A unique case of a patient experiencing a simultaneous ipsilateral floating hip and floating knee is presented.
• The injury occurred secondary to a high-velocity road traffic accident.
• The patient presented with ipsilateral hip dislocation, acetabular, femoral, and tibial fractures, alongside significant chest trauma.

Findings:

• This report details a rare case of concomitant ipsilateral floating hip and floating knee.
• The case underscores the severity and infrequent occurrence of this dual injury pattern.
• The associated acetabular, femoral, and tibial fractures, along with hip dislocation, present a complex orthopedic challenge.

Implications:

• Highlights the critical importance of recognizing and managing this rare and severe injury combination.
• Emphasizes the need for thorough evaluation in high-velocity trauma to identify associated life-threatening lesions.
• Provides insights into therapeutic recommendations for managing simultaneous ipsilateral floating hip and floating knee injuries.