Fractures of the ipsilateral tibia and femur, frequently combined with soft tissue damage and dislocations,describe floating knee injuries, a complicated orthopedic condition. Epidemiological data suggest thatfloating knee injuries account for a small but significant proportion of traumatic orthopedic injuries, with ahigher incidence observed in younger males engaged in high-risk activities. Anatomically, floating kneeinjuries involve fractures of the femur and tibia, ligamentous disruptions, and soft tissue damage,contributing to the complexity and severity of these injuries. An extensive analysis of floating knee injuriesis given in this paper, including information about epidemiology, anatomy, pathophysiology, categorization,management approaches, complications, prognosis, and current and upcoming developments