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Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury. | LitMetric

AI Article Synopsis

  • A complex floating hip injury was reported in a patient who suffered a high-velocity road traffic accident, involving fractures of the acetabulum, femoral head, and femoral shaft.
  • Despite internal fixation surgery addressing all fractures, the patient experienced a dislocation of the femoral head, leading to avascular necrosis after 5 months.
  • The patient ultimately underwent a total hip replacement with acetabular reconstruction and achieved a good functional outcome, highlighting the need for individualized treatment protocols for such rare injuries.

Article Abstract

Floating hip injuries involving the acetabulum, femoral head, and the femoral shaft are a very rare presentation. A complex floating hip injury comprising of an ipsilateral acetabular fracture associated with a displaced femoral head fracture and a femoral shaft fracture following a high-velocity road traffic accident presented to us where all the fractures were addressed with internal fixation during the primary surgery. Postoperatively, the patient suffered a dislocation of the femoral head which eventually went on to avascular necrosis at 5 months from the initial presentation. Then, the patient underwent a total hip replacement with an acetabular reconstruction following which he went on to have a good functional outcome. Our experience in dealing with such a complex case shows that it is difficult to set a protocol for such injuries and they need to be addressed on a case-to-case basis depending on the complexity of the injury.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051121PMC
http://dx.doi.org/10.1155/2018/4937472DOI Listing

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