What question did this study set out to answer?

To describe the damage-control orthopedic management and modified reduction technique for rare, limb-threatening concurrent floating hip and open knee dislocations with pelvic instability.

August 16, 2026Journal of Orthopaedic Experience & InnovationOpen Access

Concurrent Floating Hip and Open Knee Dislocation: Damage-Control Management

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Authors

SLS Low VMVladislav MuldiiarovSt. Joseph's Hospital and Medical Center MAMark Ayzenberg

Discussion

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Implication

Case report demonstrates damage-control strategies for concurrent floating hip and open knee dislocation, highlighting modified reduction maneuvers to protect compromised neurovascular structures.

Key Points

To describe the damage-control orthopedic management and modified reduction technique for rare, limb-threatening concurrent floating hip and open knee dislocations with pelvic instability.
Evaluated a polytrauma patient presenting with a closed posterior hip dislocation, ipsilateral open knee dislocation with neurovascular compromise, and a floating hemipelvis.
Implemented a modified Allis maneuver that redirected traction directly to the femur while maintaining rigid knee immobilization and pelvic stabilization.
Prompt closed hip reduction was successfully achieved without transmitting damaging axial traction across the unstable knee joint.
Due to persistent distal ischemia and a Mangled Extremity Severity Score (MESS) of 9, the patient underwent an urgent guillotine above-knee amputation.

Cite This Study

Low et al. (2026) studied this question.

synapsesocial.com/papers/6a817a33f2fb91fc834add9d https://doi.org/10.60118/001c.161592

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Implication

Case report demonstrates damage-control strategies for concurrent floating hip and open knee dislocation, highlighting modified reduction maneuvers to protect compromised neurovascular structures.

Concurrent Floating Hip and Open Knee Dislocation: Damage-Control Management

Discussion

Member takes

Implication

Key Points

Cite This Study

Concurrent Floating Hip and Open Knee Dislocation: Damage-Control Management

Discussion

Member takes

Implication

Key Points

Cite This Study

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