• Vincenzo Giordano, Kenji Fonseca Miura, Igor Tirelo Calegari, Robinson Esteves Pires, Anderson Freitas, Marco Antonio Altamirano-Cruz, Danilo Taype, and Peter V Giannoudis.
• Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rua Mário Ribeiro 117/2° Andar, Gávea, Rio de Janeiro, RJ, 22430-160, Brazil. v_giordano@me.com.
• Eur J Trauma Emerg Surg. 2023 Oct 1; 49 (5): 205720692057-2069.

PurposeTo systematically review the currently available existing evidence related to the presentation and management of simultaneous floating hip and knee injuries to identify injury characteristics, treatment strategies, and complications.MethodsData sources: Relevant articles were identified by searching Medline, PubMed, and Google Scholar databases with no language restrictions. Manual searches of other relevant databases (SciELO and grey literature databases) and reference lists of primary articles found from initial searches were also conducted.Study SelectionAll types of study designs published from January 1st, 2000 to October 1st, 2022 involving skeletally mature patients with simultaneous floating hip and knee injuries were included.Data ExtractionBasic information and specific injury-related information were collected.ResultsEight case reports were included. No study adequately reported the case with sufficient detail to allow other investigators to make inferences, nor was the result properly calculated, nor was the follow-up considered adequate for adequate functional assessment to occur in 80% of the studies.ConclusionThe exact treatment strategy and the follow-up time are not uniform across the included studies; therefore, they are not sufficient to adequately recommend surgical approach, timing of fixation, and fixation method. Our findings warrant the need for better documentation and reporting information about the mode of treatment of simultaneous floating hip and knee injuries.© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.

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