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“Floating Hip” and “Floating Knee” Associated with Hip Dislocation, Sciatic Nerve Palsy, and Patella Fracture

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Case: We report a very rare case of simultaneous ipsilateral floating hip and floating knee (SIFHFK) injury with the neck of the femur and patella fracture and hip dislocation associated… Click to show full abstract

Case: We report a very rare case of simultaneous ipsilateral floating hip and floating knee (SIFHFK) injury with the neck of the femur and patella fracture and hip dislocation associated with sciatic nerve injury in a 45-year-old man after a road traffic accident. We adopted a staged approach for surgical fixation of the fractures after stabilization. At the latest 2 years follow-up, the patient was asymptomatic with satisfactory clinical outcome. Conclusion: SIFHFK injuries present a challenging and emergent clinical scenario and require extensive clinical experience, careful planning, and multidisciplinary teamwork because of the paucity of specific treatment protocols for the treatment of this complex injury.

Keywords: floating hip; floating knee; hip; hip floating; hip dislocation; patella fracture

Journal Title: JBJS Case Connector
Year Published: 2022

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