Treatment and Complications of Patients With Ipsilateral Acetabular and Femur Fractures: A Multicenter Retrospective Analysis

Cannada, Lisa K.; Hire, Justin M.; Boyer, Preston J.; Israel, Heidi; Mir, Hassan R.; Halvorson, Jason J.; Rocca, Gregory J. Della; Ming, Bryan; Mullis, Brian; Deshpande, Chetan

doi:10.1097/bot.0000000000000966

Cited by 6 publications

(7 citation statements)

References 33 publications

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“…In addition to end-stage arthritis and SNI, we also report a 12.5% incidence of infection, and 8.33% incidence of nonunion of the femoral shaft. These results are similar to those reported in the report by Cannada et al [20], which reports a 17% incidence of infection. They also reported a strong association between the occurrence of avascular necrosis and proximal femoral fractures.…”

Section: Discussionsupporting

confidence: 93%

“…The combination of acetabular and/or pelvic injury with a femoral fracture (known as the "Floating hip") is rare and has been described in a few reports in the literature which are summarized in Table 5 [15,[18][19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…The reported incidence of heterotopic ossification with floating hip injuries is 29% [20] and 34% [27] in the literature. In our study, the incidence of heterotopic ossification was 33.3%.…”

Section: Discussionmentioning

confidence: 99%

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Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis

Hammad

Rashed

Abu-Sheasha

et al. 2021

SICOT-J

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Introduction: The combination of ipsilateral femoral and acetabular fractures is known in the literature as the “Floating hip injury”. The primary aim of this study is to assess both generic and specific patient-reported outcomes and the factors affecting the quality of life in patients sustaining this injury, while the secondary aim was to assess the injury patterns and the associated complications. Methods: A retrospective study including 27 patients according to specific inclusion and exclusion criteria. EQ5D5L and Oxford hip score (OHS) were used. The mean age was 28 years (±10.1 SD) and 21 patients (77.8%) were males. The mean follow-up was 7 years (± 3.1 years SD). Results: Median OHS was 46.5 (IQR: 31.5–48). The median EQ5D score was 0.919 (95% CI: 0.601–1). The mean EQ5D index value was 0.679 ± 0.442 (95% CI: 0.492–0.865). In this young cohort of patients, this drop in the mean EQ5D index value has led to a loss of a mean of 2.2 Quality-adjusted Life Years (QALYs). Through multivariate analysis, we found that the quality of life was mainly affected by the occurrence of end-stage arthritis, the presence of non-recovered traumatic sciatic nerve injury, and the occurrence of infection. Conclusions: Our findings show that the quality of life of those patients was significantly affected. These findings can be beneficial in counselling patients sustaining this complex injury and could be helpful in the discussion of the prognosis and in planning postoperative rehabilitation and support.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

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Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis

Hammad

Rashed

Abu-Sheasha

et al. 2021

SICOT-J

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“…7,8 Despite its existence in literature for over 20 years, disagreement still exists over whether the "floating hip" should be considered a distinct injury. 4,5,[8][9][10][11] Evidence remains equivocal in particular, on whether FH injuries are associated with unique complications akin to the more established floating knee or floating elbow injuries. 5,8,9 A growing number of studies have described their encounters with this rare injury.…”

Section: Introductionmentioning

confidence: 99%

“… 5 , 8 , 9 A growing number of studies have described their encounters with this rare injury. 5 , 10 – 13 However, many studies to date have either only reported case-series of limited numbers, or have offered no form of controlled comparison to similar P/A injuries without femoral involvement.…”

Section: Introductionmentioning

confidence: 99%

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 in polytraumatized patients: complications, mechanism of injury, and surgical strategy

Brioschi

Randelli

Capitani

et al. 2021

International Orthopaedics (SICOT)

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Treatment and Complications of Patients With Ipsilateral Acetabular and Femur Fractures: A Multicenter Retrospective Analysis

Abstract: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

Cited by 6 publications

References 33 publications

Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis

Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis

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

Floating hip in polytraumatized patients: complications, mechanism of injury, and surgical strategy

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