{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T22:44:57Z","timestamp":1792622697366,"version":"4.5.0"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005851","name":"Shahid Beheshti University of Medical Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005851","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>A floating hip injury involving the acetabulum and femur, often complicated by hip dislocation, necessitates a timely and appropriate management strategy to preserve the extremity and patient well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We present a case of a 20-year-old male with concurrent fractures of the acetabular posterior wall, a comminuted femoral shaft, and posterior hip dislocation. Reduction of the dislocated hip posed a challenge due to the femoral shaft fracture. We successfully employed an innovative technique, using pins proximal and distal to the shaft fracture in conjunction with a temporary external fixator, later replaced by an interlocking nail after hip reduction. Subsequently, we addressed the acetabular fracture through a posterior hip approach, enabling the patient to regain full weight-bearing capacity within a few months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>In managing concurrent injuries in a floating hip, particularly when a femoral shaft fracture is involved, innovative approaches, such as the one described in this study, are crucial for timely hip reduction. Following hip reduction, a series of surgeries are required to address the multiple lower extremity injuries, prioritizing those with the highest risk of adverse events and neurovascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Urgent procedures for multiple fractures in orthopedic trauma surgery are pivotal for the best long-term outcomes. Prioritizing these urgent procedures, even through unconventional transient methods when conventional means are unavailable, can prevent long-term complications such as avascular necrosis. Effective and timely management is paramount for optimal patient recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2023.109035","type":"journal-article","created":{"date-parts":[[2023,11,14]],"date-time":"2023-11-14T16:26:38Z","timestamp":1699979198000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Concurrent ipsilateral fractures of acetabular posterior wall and femoral shaft associated with posterior hip dislocation"],"prefix":"10.1097","volume":"113","author":[{"given":"Reza","family":"Zarei","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehdi","family":"Tavassoli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mojtaba","family":"Baroutkoub","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sina","family":"Afzal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-23-20260316","doi-asserted-by":"crossref","first-page":"717","DOI":"10.1016\/S0020-1383(01)00204-2","article-title":"The floating hip injury: patterns of injury","volume":"33","author":"Liebergall,","year":"2002","journal-title":"Injury"},{"key":"R2-23-20260316","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1302\/0301-620X.74B1.1732275","article-title":"The floating hip. Ipsilateral pelvic and femoral fractures","volume":"74","author":"Liebergall,","year":"1992","journal-title":"J. Bone Joint Surg. (Br"},{"key":"R3-23-20260316","first-page":"442","article-title":"The floating hip: complications and outcomes","volume":"64","author":"Burd,","year":"2008","journal-title":"J. Trauma"},{"key":"R4-23-20260316","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1007\/s004020050385","article-title":"Ipsilateral fractures of the pelvis and the femur-floating hip? A retrospective analysis of 42 cases","volume":"119","author":"M\u00fcller,","year":"1999","journal-title":"Arch. Orthop. Trauma Surg"},{"key":"R5-23-20260316","first-page":"4937472","article-title":"Ipsilateral acetabular fracture with displaced femoral head and femoral shaft fracture: a complex floating hip injury","volume":"2018","author":"Rajasekaran,","year":"2018","journal-title":"Case Rep. Orthop"},{"key":"R6-23-20260316","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1097\/01.ta.0000224898.83708.e1","article-title":"Unusual combination of femoral head dislocation associated acetabular fracture with ipsilateral neck and shaft fractures: a case report","volume":"61","author":"Duygulu,","year":"2006","journal-title":"J. Trauma"},{"key":"R8-23-20260316","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1007\/s00068-020-01495-x","article-title":"Avascular necrosis of the femoral head after traumatic posterior hip dislocation with and without acetabular fracture","volume":"48","author":"Milenkovic,","year":"2022","journal-title":"Eur. J. Trauma Emerg. Surg"},{"key":"R9-23-20260316","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1016\/j.ijsu.2020.10.034","article-title":"The SCARE 2020 guideline: updating consensus surgical CAse REport (SCARE) guidelines","volume":"84","author":"Agha,","year":"2020","journal-title":"Int. J. Surg"},{"key":"R10-23-20260316","first-page":"31","article-title":"Ipsilateral traumatic posterior hip dislocation, posterior wall and transverse acetabular fracture with trochanteric fracture in an adult: report of first case","volume":"3","author":"Sinha,","year":"2013","journal-title":"J. Orthop. Case Rep"},{"key":"R12-23-20260316","doi-asserted-by":"crossref","first-page":"698","DOI":"10.3944\/AOTT.2014.3022","article-title":"Hip dislocation associated with ipsilateral femoral neck and shaft fractures: an unusual combination and dilemma regarding head preservation","volume":"48","author":"Sharma,","year":"2014","journal-title":"Acta Orthop. Traumatol. Turc"},{"key":"R13-23-20260316","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1177\/230949900401200123","article-title":"Traumatic anterior dislocation of the hip associated with ipsilateral femoral shaft fracture in a child: a case report","volume":"12","author":"Yamamoto,","year":"2004","journal-title":"J. Orthop. Surg. (Hong Kong"},{"key":"R14-23-20260316","first-page":"3","article-title":"Ipsilateral posterior hip dislocation and femur shaft fracture - a rare presentation","volume":"10","author":"Iftekhar,","year":"2020","journal-title":"J. Orthop. Case Rep"},{"key":"R15-23-20260316","first-page":"44","article-title":"Posterior hip dislocation with ipsilateral femoral head and shaft fracture - using a temporary external fixator as a method for closed reduction","volume":"6","author":"Alhammoud,","year":"2016","journal-title":"J. Orthop. Case Rep"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223011641?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261223011641?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109035","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T10:01:53Z","timestamp":1773655313000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1016\/j.ijscr.2023.109035"}},"subtitle":["A case report and literature review of a rare injury"],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":13,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2023.109035","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}