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The floating hip injury: a descriptive study and case-control analysis
| Content Provider | SAGE Publishing |
|---|---|
| Author | Mark Y Z Wong Ghobrial, Marios Han, Win M. Alsousou, Joseph Carrothers, Andrew Hull, Peter Chou, Daud Rawal, Jaikirty |
| Copyright Year | 2023 |
| Abstract | A “floating hip” (FH) injury is a rare injury describing the simultaneous ipsilateral fracture of the femur and pelvis or acetabulum (P/A). We describe our experience with patients presenting with FH injuries and compare them to controls with similar P/A fractures but without femoral involvement.Methods:Medical records and radiographs of FH patients and controls presenting to our tertiary centre between 2015 and 2020 were reviewed. Follow-up data from outpatient clinical records were also extracted. The control group were extensively matched by age, sex, body mass index, fracture classification and energy of injury.Results:From 1392 recorded P/A fractures, 42 FH cases were identified (average age 39 years, 78.6% males). The most common femoral fracture was the midshaft (35.7%), followed by the neck of femur (26.2%). 90.5% of FH injuries were due to high-energy mechanisms. 64.3% of P/A fractures, and 100% of femoral fractures were managed surgically. Compared to controls, FH cases were more likely to have additional orthopaedic injuries (73.8% vs. 40.5%, p = 0.002), more total theatre admissions (mean 2.5 vs. 1.19, p < 0.001), longer hospital stays (28.3 vs. 14.9 days, p = 0.02), and a higher rates of post-op complications (53.8% vs. 20%, p = 0.025)Conclusions:We report differences in the presentation, management, and outcomes of FH injuries versus controls, even after extensive matching for confounders. These differences may inform future treatment strategies for the FH injury. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/11207000231160075?download=true |
| ISSN | 11207000 |
| Journal | HIP International (HPI) |
| e-ISSN | 17246067 |
| DOI | 10.1177/11207000231160075 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2023-03-13 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2023 |
| Subject Keyword | Acetabular fracture femur fracture pelvic fracture floating hip ipsilateral |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery |
