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Aim of the study is to describe and study the patterns of floating hip injuries and assess the current management in Assiut University Hospitals Trauma Centre to help reach the best approach to plan treatment for these severe and difficult injuries.
Floating hip injuries are defined as ipsilateral fractures of the pelvis, acetabulum and femur . The term "floating" is used in orthopedic literature to describe certain patterns of skeletal injuries that share one common character which is disruption and discontinuity of bones above and below a joint. This type of injury is very rare and occurs due to high-energy trauma most commonly road traffic accidents and falls from height. Patients of the floating hip injuries are usually poly-trauma patients with other associated potentially serious injuries in the head , chest or abdomen or fractures in other sites. Complication rates are high in these patients due to the severe and unstable nature of this injury. The femoral fracture may be associated with pelvic, acetabular fracture or both, this pattern was classified by Liebergall et al into 3 types; A, B and C with type A involving pelvic fracture associated with an ipsilateral femoral fracture and type B involving an acetabular fracture associated with an ipsilateral femoral fracture and type C involving fractures to both the pelvis and acetabulum. The lack of common terminology , probably because of their rarity and relative low incidence of associated vascular injuries , could have been the reason for the underappreciation of the peculiarity of these injuries. Previous studies have been limited in number without deep analysis of the current practice patters and incidence of complications.
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of floating hip injuries | Determination of the incidence rate of injury by calculating new cases / total number of trauma cases admitted in the time frame from 2018-2023 | From 2018-2023 |
| Patterns of injury | Determination of patterns of injury using the liebergall classification . Fractures are classified into A, B, and C and their percentages over the total number of cases will be calculated | 2018-2023 |
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Inclusion Criteria:
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All patients aged 18 to 60 who were admitted to Assiut University Hospitals and presented with ipsilateral fractures of the pelvis, acetabulum, and femur in the period between 2018-2023
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Omar Y Mohamed, Bachelor's degree | Contact | +201111448817 | Omar.15235452@med.aun.edu.eg | |
| Osama A Farouk, Professor | Contact | +20 122 2443531 | Farouk-O@aun.edu.eg |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36803387 | Background | Yang Y, Zou C, Fang Y, Shakya S. Medium-term clinical results in patients with floating hip injuries. BMC Surg. 2023 Feb 20;23(1):40. doi: 10.1186/s12893-023-01927-6. | |
| 10392514 | Background | Muller EJ, Siebenrock K, Ekkernkamp A, Ganz R, Muhr G. Ipsilateral fractures of the pelvis and the femur--floating hip? A retrospective analysis of 42 cases. Arch Orthop Trauma Surg. 1999;119(3-4):179-82. doi: 10.1007/s004020050385. |
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| ID | Term |
|---|---|
| D006620 | Hip Fractures |
| D025981 | Hip Injuries |
| D005264 | Femoral Fractures |
| D014947 | Wounds and Injuries |
| ID | Term |
|---|---|
| D050723 | Fractures, Bone |
| D007869 | Leg Injuries |
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| 12213424 | Background | Liebergall M, Mosheiff R, Safran O, Peyser A, Segal D. The floating hip injury: patterns of injury. Injury. 2002 Oct;33(8):717-22. doi: 10.1016/s0020-1383(01)00204-2. |
| 23644236 | Background | Wu CL, Tseng IC, Huang JW, Yu YH, Su CY, Wu CC. Unstable pelvic fractures associated with femoral shaft fractures: a retrospective analysis. Biomed J. 2013 Mar-Apr;36(2):77-83. doi: 10.4103/2319-4170.110401. |
| 20512766 | Background | Zamora-Navas P, Guerado E. Vascular complications in floating hip. Hip Int. 2010;20 Suppl 7:S11-8. doi: 10.1177/11207000100200s703. Epub 2010 May 27. |
| 30762776 | Background | Mohamed SO, Ju W, Qin Y, Qi B. The term "floating" used in traumatic orthopedics. Medicine (Baltimore). 2019 Feb;98(7):e14497. doi: 10.1097/MD.0000000000014497. |
| 18301213 | Background | Burd TA, Hughes MS, Anglen JO. The floating hip: complications and outcomes. J Trauma. 2008 Feb;64(2):442-8. doi: 10.1097/TA.0b013e31815eba69. |
| 34779899 | Background | Brioschi M, Randelli F, Capitani P, Capitani D. Floating hip in polytraumatized patients: complications, mechanism of injury, and surgical strategy. Int Orthop. 2022 Feb;46(2):361-368. doi: 10.1007/s00264-021-05262-4. Epub 2021 Nov 15. |
| 34808712 | Background | Meena UK, Bansal MC, Behera P, Goyal D, Kumar R. Concomitant ipsilateral acetabular and femoral fractures - an appraisal of outcomes and complications in 34 patients. Acta Orthop Belg. 2021 Sep;87(3):401-410. |
| 34214653 | Background | Cech A, Rieussec C, Kerschbaumer G, Seurat O, Corbet C, Vibert B, Tronc C, Ruatti S, Bouzat P, Tonetti J, Boudissa M. Complications and outcomes in 69 consecutive patients with floating hip. Orthop Traumatol Surg Res. 2021 Oct;107(6):102998. doi: 10.1016/j.otsr.2021.102998. Epub 2021 Jun 29. |
| 1732275 | Background | Liebergall M, Lowe J, Whitelaw GP, Wetzler MJ, Segal D. The floating hip. Ipsilateral pelvic and femoral fractures. J Bone Joint Surg Br. 1992 Jan;74(1):93-100. doi: 10.1302/0301-620X.74B1.1732275. |