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Floating hip injuries are rare in children. There are no defined strategies for managing these injuries. A 10 years old male child sustained a floating hip injury due to direct fall over the left hip. The injury consisted of ipsilateral left hip central fracture-dislocation, pelvic injury and proximal femoral shaft fracture. The child was treated with closed elastic stable intramedullary nailing for the femur and plate osteosynthesis for the acetabulum in a single stage. Pelvic injury was conserved. All fractures united at 6 months and excellent results were observed at short-term follow-up of 14 months. Management of floating hip injuries may warrant a multidisciplinary approach. In a hemodynamically stable child, a one-staged fixation for femur and acetabulum can be performed.