The floating hip injury: a descriptive study and case-control analysis.
Hip Int
; 34(1): 122-133, 2024 Jan.
Article
em En
| MEDLINE
| ID: mdl-36912024
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.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Ossos Pélvicos
/
Artroplastia de Quadril
/
Lesões do Quadril
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Fraturas do Fêmur
/
Fraturas do Quadril
Tipo de estudo:
Observational_studies
Limite:
Adult
/
Female
/
Humans
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Male
Idioma:
En
Revista:
Hip Int
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Reino Unido