An unusual combination of extremity fractures: floating body injury

作者：Poyanli Oguz; Guven Melih^*; Unay Koray; Akan Kaya Huesnue; Esenkaya Irfan

来源：European Journal of Orthopaedic Surgery and Traumatology, 2010, 20(4): 323-328.

DOI：10.1007/s00590-009-0559-y

• Floating injury
• Simultaneous fractures
• Retrograde intramedullary nailing
• Arthroscopic assisted
• External fixation

Simultaneous quadruple extremity fractures are rare and can be termed as "floating body" injury. A review of the literature produced only one previous report of this rare combination which could not be operated. We presented a 40-year-old female patient with bilateral humerus and femur fractures associated concomitant injuries such as nondisplaced acetabular fracture, rib fractures and traumatic tendon ruptures. She was operated by arthroscopically assisted retrograde intramedullary nailing for femur fractures as well as by external fixators for humerus fractures. She was able to walk with full weight-bearing without any assistance at the end of the first postoperative year. Early fixation of the fractures in floating body injury using retrograde intramedullary nailing and external fixator is successful treatment method.

• 出版日期2010-5