Floating Hip, Eleven Cases and Literature Review

Siavashi, Babak

doi:10.5812/jost.63868

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Iatrogenic sciatic nerve (7) have reported that males were affected more than females in their respective studies. Muller et al (6) and Siavashi (13) had almost an equal number of patients of each gender. The almost exclusive male involvement in our series can be attributed to their greater outdoor exposure as compared to the females in our region.…”

Section: Resultsmentioning

confidence: 98%

“…Surgical stabilization helps in rehabilitation and an early return to productivity. While Liebergall et al (5) preferred operating first on the femur, Siavashi (13) managed 10 out of their 11 patients by operating first on the pelvi-acetabular fractures. Suzuki et al (3).…”

Section: Discussionmentioning

confidence: 99%

“…While it is accepted that these patients require surgical intervention, there are areas where consensus is lacking. This is because these are uncommon injuries that are reported as case-reports and case series (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18). Information on the mechanism and type of fractures, sequence of fixation, outcomes, and complications of these injuries is limited (1,3,(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

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Concomitant ipsilateral acetabular and femoral fractures – an appraisal of outcomes and complications in 34 patients

Meena¹,

Bansal²,

Behera³

et al. 2021

Acta Orthop Belg

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Concomitant ipsilateral femoral and acetabular fractures are complex injuries which result from high-velocity trauma. Surgical treatment is the accepted management of such injuries. The objectives of this study were to evaluate the outcomes and study the complications in patients treated for concomitant ipsilateral acetabular and femoral fractures (type ‘B’ floating hip injuries). This retrospective study was conducted at a tertiary care teaching hospital on patients operated for type B floating hip injuries, who had completed a minimum of one-year follow-up after the surgery and whose complete records were available. Those with floating hip injuries with pelvic fractures were excluded. All patients were operated on the femoral side first, followed by the acetabular side. 34 patients were included ; most of them were young males. A road traffic accident was the most common mode, with a dashboard injury being the most common mechanism of injury. No association between the type of acetabular and femoral fractures was found. The clinical (measured with Harris hip score) and radiological (Matta’s method) outcomes at the latest follow-up were excellent or good in >60% cases and had a significant association with the quality of reduction on the post-operative radiographs. Com- plications were seen in 12 out of the 34 patients. Type B floating hips injuries can be managed well with acceptable short-term results by following a femur first strategy. However, patients must be informed of the possible complications and the probabilities of poorer outcomes when compared to isolated acetabular or femoral fractures.

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Section: Resultsmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Concomitant ipsilateral acetabular and femoral fractures – an appraisal of outcomes and complications in 34 patients

Meena¹,

Bansal²,

Behera³

et al. 2021

Acta Orthop Belg

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The floating hip injury: a descriptive study and case-control analysis

et al. 2023

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Purpose: 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.

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Floating Hip, Eleven Cases and Literature Review

Cited by 2 publications

References 9 publications

Concomitant ipsilateral acetabular and femoral fractures – an appraisal of outcomes and complications in 34 patients

Concomitant ipsilateral acetabular and femoral fractures – an appraisal of outcomes and complications in 34 patients

The floating hip injury: a descriptive study and case-control analysis

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