Unstable Pelvic Fractures Associated with Femoral Shaft Fractures: A Retrospective Analysis

Wu, Chunliang; Tseng, I-Chuan; Huang, Jau-Wen; Yu, Yi‐Hsun; Su, Chun-Yi; Wu, Chi‐Chuan

doi:10.4103/2319-4170.110401

Cited by 12 publications

(9 citation statements)

References 35 publications

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“…One of them was in the case of a urinary tract injury, 1 in the case of symphyseal separation, and 1 in a comminuted rami fracture for a shortening operation time. Other studies use ramus screws (antegrade or retrograde) when possible (10). There was no complication from external fixators.…”

Section: Discussionmentioning

confidence: 98%

Floating Hip, Eleven Cases and Literature Review

Siavashi¹

2017

J Orthop Spine Trauma

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Floating hip refers to concomitant fracture of the acetabulum, pelvis, and femur. We report the cases, our approach, as well as short-term results from 2008 to 2016. There were a total of 11 cases. The most prevalent pelvis fracture type were Tile type C and the most acetabulum fractures were both column fracture. The most femoral side fractures were per-throchantrric fractures (head, neck, intertrochanteric fracture). In most cases, fixation started from the pelvis, acetabulum, and then the femur. There were 5 complications (45%) (1 DVT, 2 nonunion, and 2 AVN). There were 3 cases, which end to THA in the follow up period. It seems this combination of fractures needs special attention.

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Section: Discussionmentioning

confidence: 98%

Floating Hip, Eleven Cases and Literature Review

Siavashi¹

2017

J Orthop Spine Trauma

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“…Floating hip injuries are most often caused by highenergy trauma, such as a high-energy automotive or motorcycle (2,3,5,21). Cases due to falls from height have also been reported (3,12).…”

Section: Etiologymentioning

confidence: 99%

“…Cech et al reported a mortality rate of approximately 3% for floating hip injury in their population (4). In particular, floating hip injury involving pelvic ring fracture has a higher mortality EFORT Open Reviews (2024) 9 150-159 https://doi.org/10.1530/EOR-23-0013 Hip rate (3,5) and tends to occur in the initial phase of treatment (3,4).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, variations in the definition of floating hip and the scarcity of this injury have led to considerable heterogeneity of published studies. Nevertheless, the published literature has emphasized the severity, difficulty of management, and a high number of complications of this injury (2,3,5,20,21), which undoubtedly poses a continuous challenge to trauma orthopedic surgeons. Therefore, our aim was to provide a comprehensive overview of floating hip injury in order to raise awareness of this serious injury among the trauma orthopedic team and to try to provide an algorithm for the management of such injury.…”

Section: Introductionmentioning

confidence: 99%

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Management of floating hip injury: a review of the literature

Yang,

Peng,

2024

EFORT Open Reviews

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Aim The aim of this study was to provide a comprehensive overview of floating hip injury and attempt to provide a management algorithm. Methods PubMed was searched using the terms ‘Floating hip’ or ‘acetabular fracture’ and ‘Ipsilateral femoral fracture’ or ‘pelvic fracture’ and ‘Ipsilateral femoral fracture’. One author performed a preliminary review of the abstracts and references of the retrieved articles. Results The mean injury severe score reported was higher than 20. Chest and abdominal injuries, as well as fractures at other sites, were the most common associated injuries. Despite the high disability rate, surgery remained the preferred option for managing these injuries. The surgical timing varied from a few hours to several days and was subjected to the principles of damage control orthopedics. Although, in most cases, fixation of femoral fractures took precedence over pelvic or acetabular fractures, there was still a need to consider the impact of damage control orthopedics, associated injuries, and surgeon's considerations and preferences. Posttraumatic arthritis, neurological deficits, heterotopic ossification, femoral head necrosis, femoral nonunion, and limb inequality were common complications of the floating hip injury. Conclusions The severity of such injuries often exceeds that of an isolated injury and often requires specialized multidisciplinary treatment. In the management of these complex cases, the complexity and severity of the injury should be fully assessed, and an appropriate surgical plan should be developed to perform definitive surgery as early as possible, with attention to prevention of complications during the perioperative period.

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“…They are often caused by high-energy trauma and are associated with a high mortality rate. 1 However, such severe injuries with complex patterns are seen more commonly nowadays due to high-speed trauma caused in road traffic accidents (RTA) on motorways. High mortality rates (50%–77%) have been reported for femoral shaft fractures associated with pelvic fractures and injuries to other systems.…”

Section: Introductionmentioning

confidence: 99%

Bilateral segmental pelvic and femoral fractures in a young female: A rare case report

Vaishya

Agarwal

Gupta

et al. 2016

Chinese Journal of Traumatology

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The management of multiple complicated injured patients remains a great challenge despite advancements in modern medical care. We present a rare case of bilateral unstable pelvic fractures associated with bilateral segmental femoral shaft fractures. We have proposed a mechanism of such complex injury pattern and discussed the plan of management. We believe that a timely and aggressive surgical intervention to fix all the major fractures soon after medically stabilizing the patient helped our patient to overcome these serious and lethal injuries. It is necessary to establish an optimal protocol for management of such complex fractures by conducting prospective and multicentric studies in the future.

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Unstable Pelvic Fractures Associated with Femoral Shaft Fractures: A Retrospective Analysis

Cited by 12 publications

References 35 publications

Floating Hip, Eleven Cases and Literature Review

Floating Hip, Eleven Cases and Literature Review

Management of floating hip injury: a review of the literature

Bilateral segmental pelvic and femoral fractures in a young female: A rare case report

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