Bibliographic Details
| Title: |
The floating hip injury: a descriptive study and case-control analysis. |
| Authors: |
Wong, Mark Y Z, Ghobrial, Marios, Han, Win M, Alsousou, Joseph, Carrothers, Andrew, Hull, Peter, Chou, Daud, Rawal, Jaikirty |
| Source: |
Hip International; Jan2024, Vol. 34 Issue 1, p122-133, 12p |
| Subject Terms: |
WORK experience (Employment), PELVIC fractures, STRATEGIC planning, RESEARCH methodology, AGE distribution, COMPARATIVE studies, SEX distribution, ACETABULUM (Anatomy), FRACTURE fixation, DESCRIPTIVE statistics, BODY mass index, BONE fractures, FEMORAL fractures |
| Abstract: |
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. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
