Epidemiological Study of Floating Hip Injuries in Assiut University Hospitals

NCT ID: NCT06344039

Last Updated: 2024-04-05

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 100 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-04-30
• Study Completion Date: 2025-05-31

Brief Summary

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.

Detailed Description

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.

Conditions

Hip Fractures; Hip Injuries

Study Design

• Observational Model Type: CASE_ONLY
• Study Time Perspective: RETROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• Adult patients (aged 18 to 60) with ipsilateral fractures of the pelvis, acetabulum and femur

Exclusion Criteria

• Ages below 18 or above 60
• pathological and fragility fractures

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Omar Yaser Emam Mohamed

Resident Doctor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Omar Y Mohamed, Bachelor's degree

Role: CONTACT

Omar.15235452@med.aun.edu.eg

+201111448817

Osama A Farouk, Professor

Role: CONTACT

Farouk-O@aun.edu.eg

+20 122 2443531

References

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Reference Type: BACKGROUND

PMID: 36803387 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 10392514 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 12213424 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 23644236 (View on PubMed)

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Reference Type: BACKGROUND

PMID: 20512766 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 30762776 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 18301213 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 34779899 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 34808712 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 34214653 (View on PubMed)

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.

Reference Type: BACKGROUND

PMID: 1732275 (View on PubMed)

Other Identifiers

Floating hip

Identifier Type: -

Identifier Source: org_study_id