Dataset Information

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

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.

SUBMITTER: Wong MYZ

PROVIDER: S-EPMC10787386 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature

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Publications

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

Wong Mark Y Z MYZ Ghobrial Marios M Han Win M WM Alsousou Joseph J Carrothers Andrew A Hull Peter P Chou Daud D Rawal Jaikirty J

Hip international : the journal of clinical and experimental research on hip pathology and therapy 20230313 1

<h4>Purpose</h4>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.<h4>Methods</h4>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 ...[more]

PMID: 36912024

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Dataset Information

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

Purpose

Methods

Results

Conclusions

Publications

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

Similar Datasets

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