Published: 2020-08-26

Fracture of neck of femur with fracture of posterior column of acetabulum: a rare case of floating hip

Avik K. Neogi, Naresh Kumar, Jyotirmay Das, Akshay Lamba, Abhishek Garg, Ankush Kundu, Pritam Yadav, Sachin Sachdeva, Ipanshu Malik, Neeraj Khare


Injuries around the hip joint are one of the most common orthopedic injuries and these types of injuries are grossly debilitating until treated properly. Simultaneous occurrence of fracture of proximal femur with fracture of ipsilateral acetabulum or pelvis is termed as floating hip injury. These injuries are very rare, only to be found 1 in 10,000 as well as there is lack of literature support regarding proper treatment protocol. Here we are going to present a case of fracture of neck of left femur along with fracture of left acetabulum in a 45 years old male undergone road traffic accident.



Hip fracture, Fracture neck of femur, Fracture acetabulum, Floating hip, KL approach

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Liebergall M, Mosheiff R, Safran O, Peyser A, Segal D. The floating hip injury: patterns of injury. Injury. 2002;33:717-22.

Müller EJ, Siebenrock K, Ekkernkamp A, Ganz R, Muhr G. Ipsilateral fractures of the pelvis and the femur-floating hip. Archives Orthop Trauma Surg. 1999;119:179-82.

Burd T, Hughes M, Anglen J. The floating hip: complications and outcomes. J Trauma Injury Infection Critical Care. 2008;64:442-8.

Iotov A, Tzachev N, Enchev D, Baltov A. Operative treatment of the floating hip. J Bone Joint Surg (Br). 2006;88-B:160.

Suzuki T, Shindo M, Soma K. The floating hip injury: which should we fix first. European J Orthop Surg Traumatology. 2006;16:214-8.

Kregor PJ, Templeman D. Associated injuries complicating the management of acetabular fractures: review and case studies. Orthop Clinics North Am. 2002;33:73-95.

Oh C, Oh J, Park B. Retrograde nailing with subsequent screw fixation for ipsilateral femoral shaft and neck fractures. Archives Orthop Trauma Surg. 2006;126:448-53.

Judet R, Judet J, Letournel E. Fractures of the acetabulum: classification and surgical approaches for open reduction: preliminary report. J Bone Joint Surg (Am). 1964;46:1615-46.

Rajasekaran RB, Jayaramaraju D, Palanisami DR, Perumal R, Shanmuganathan R. Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury. Case Rep Orthop. 2018;2018:4937472.

Irifune H, Hirayama S, Takahashi N, Narimatsu E. Ipsilateral Acetabular and Femoral Neck and Shaft Fractures. Case Rep Orthop. 2015;2015:351465.