Yashavantha Kumar C, Nalini K B, Nagaraj Prashanth, Jawali Abhijith
Dept of Orthopaedics M S Ramiah Medical College, Bangalore, India-560054.
J Orthop Case Rep. 2013 Jul-Sep;3(3):3-6. doi: 10.13107/jocr.2250-0685.105.
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.
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 knee.
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.
同侧浮动髋和浮动膝是非常罕见的损伤。这些损伤极为罕见，仅报告过三例类似病例。这些损伤是由机动车事故后的高速损伤所致。即使对于经验丰富的医生来说，处理此类复杂损伤也是一项具有挑战性的任务，因为对于此类骨折尚无标准治疗指南。
我们在此报告一名20岁男性，他在机动车事故后遭受同侧浮动髋和同侧浮动膝损伤。患者最初病情稳定，随后接受手术治疗。患者在同一次手术中接受了股骨和胫骨交锁髓内钉治疗，而髋臼骨折则采用保守治疗。五个月时，所有骨折均愈合良好，髋部和膝部均恢复了良好的活动范围。
同侧浮动膝和浮动髋是高速机动车事故后罕见的损伤。由于文献中仅报道过少数类似病例，因此对于这些骨折尚无标准治疗指南。早期固定和积极活动可确保骨折愈合并减少并发症。
