Arthroplasty division, Department of Orthopaedics, Star Hospitals, Hyderabad, India.
JBJS Case Connect. 2022 Feb 24;12(1):01709767-202203000-00057. doi: e21.00642.
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.
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.
我们报告了一例非常罕见的同侧漂浮髋和漂浮膝（SIFHFK）损伤，伴有股骨颈和髌骨骨折以及髋关节脱位，并伴有坐骨神经损伤，发生在一名 45 岁男性的道路交通事故后。我们采用分期方法进行骨折的手术固定，在最后的 2 年随访中，患者无症状，临床结果满意。
SIFHFK 损伤呈现出具有挑战性和紧急性的临床情况，由于缺乏针对这种复杂损伤的具体治疗方案，因此需要广泛的临床经验、仔细的规划和多学科团队合作。
