A floating hip is an ipsilateral injury affecting the pelvis, acetabulum, and the femur related to high-energy accidents. This study conducts a comprehensive literature review to analyze state-of-the-art engineering solutions for floating hip injuries, including country, gender, mechanism of injury, type of fracture, and principal treatments. There were nine studies from 1992 to 2025, and 284 patients showed cases of floating hip injuries, 189 males (67%) and 95 females (33%), with a mean age of 36.84 years. According to the literature, this pathology has three types: A, B, and C, with a predominant type B fracture in almost all cases (pelvic ring fracture associated with ipsilateral femoral fracture). This study aims to present a methodology for developing prostheses through analysis that evaluates areas of opportunity, such as computational modeling, finite element analysis, and patient-specific design considerations.