The floating hip injury: which should we fix first?

Suzuki, Takashi; Shindo, Mitsuko; Soma, Kazui

doi:10.1007/s00590-006-0081-4

Cited by 13 publications

(31 citation statements)

References 13 publications

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“…The management of such cases is difficult due to their low incidence and paucity in literature regarding their management. [4][5][6][7] Whenever one comes across a patient with the associated fractures as shown in our case, two main issues need to be planned before surgery. The first issue is with regard to which fracture will be addressed first, and the second issue is with regard to the implant to be used.…”

Section: Discussionmentioning

confidence: 99%

Fracture of neck of femur with fracture of posterior column of acetabulum: a rare case of floating hip

et al. 2020

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<p>Injuries around the hip joint are one of the most common orthopedic injuries and these types of injuries are grossly debilitating until treated properly. Simultaneous occurrence of fracture of proximal femur with fracture of ipsilateral acetabulum or pelvis is termed as floating hip injury. These injuries are very rare, only to be found 1 in 10,000 as well as there is lack of literature support regarding proper treatment protocol. Here we are going to present a case of fracture of neck of left femur along with fracture of left acetabulum in a 45 years old male undergone road traffic accident.</p><p> </p>

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Section: Discussionmentioning

confidence: 99%

Fracture of neck of femur with fracture of posterior column of acetabulum: a rare case of floating hip

et al. 2020

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“…While Kregor [ 6 ] suggested prioritising the acetabular fracture first in fixation, Liebergall et al [ 1 ] stated that fixing the femur first would help in easy reduction and traction while fixing the acetabulum. There has also been a disparity in the choice of implants between authors, with some authors suggesting a single implant and other authors suggesting separate implants for separate fractures [ 5 – 7 ]. We feel that these decisions have to be made based on a case-to-case basis.…”

Section: Discussionmentioning

confidence: 99%

Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury

Rajasekaran

Jayaramaraju

Palanisami

et al. 2018

Case Reports in Orthopedics

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Floating hip injuries involving the acetabulum, femoral head, and the femoral shaft are a very rare presentation. A complex floating hip injury comprising of an ipsilateral acetabular fracture associated with a displaced femoral head fracture and a femoral shaft fracture following a high-velocity road traffic accident presented to us where all the fractures were addressed with internal fixation during the primary surgery. Postoperatively, the patient suffered a dislocation of the femoral head which eventually went on to avascular necrosis at 5 months from the initial presentation. Then, the patient underwent a total hip replacement with an acetabular reconstruction following which he went on to have a good functional outcome. Our experience in dealing with such a complex case shows that it is difficult to set a protocol for such injuries and they need to be addressed on a case-to-case basis depending on the complexity of the injury.

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“…It is a rare combination of fractures and is usually seen in multiple injured patients. Optimal treatment sequence is not agreed in literature (3). Some surgeons prefer to start from the proximal side and some prefer to start from the femur.…”

Section: Introductionmentioning

confidence: 94%

Floating Hip, Eleven Cases and Literature Review

Siavashi¹

2017

J Orthop Spine Trauma

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Floating hip refers to concomitant fracture of the acetabulum, pelvis, and femur. We report the cases, our approach, as well as short-term results from 2008 to 2016. There were a total of 11 cases. The most prevalent pelvis fracture type were Tile type C and the most acetabulum fractures were both column fracture. The most femoral side fractures were per-throchantrric fractures (head, neck, intertrochanteric fracture). In most cases, fixation started from the pelvis, acetabulum, and then the femur. There were 5 complications (45%) (1 DVT, 2 nonunion, and 2 AVN). There were 3 cases, which end to THA in the follow up period. It seems this combination of fractures needs special attention.

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The floating hip injury: which should we fix first?

Cited by 13 publications

References 13 publications

Fracture of neck of femur with fracture of posterior column of acetabulum: a rare case of floating hip

Fracture of neck of femur with fracture of posterior column of acetabulum: a rare case of floating hip

Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury

Floating Hip, Eleven Cases and Literature Review

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