An unusual combination of extremity fractures: floating body injury

  • Oğuz Poyanlı
  • Melih GüvenEmail author
  • Koray Ünay
  • Kaya Hüsnü Akan
  • İrfan Esenkaya
Case Report


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.


Floating injury Simultaneous fractures Retrograde intramedullary nailing Arthroscopic assisted External fixation 


Conflict of interest statement

No funds were received in support of this study.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Oğuz Poyanlı
    • 1
  • Melih Güven
    • 2
    Email author
  • Koray Ünay
    • 1
  • Kaya Hüsnü Akan
    • 1
  • İrfan Esenkaya
    • 1
  1. 1.Department of Orthopaedics and TraumatologyGöztepe Research and Training HospitalIstanbulTurkey
  2. 2.Department of Orthopaedics and TraumatologyThe Hospital of University of Abant Izzet BaysalBoluTurkey

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