Floating Hip
Journal Title: Journal of Clinical Orthopaedics - Year 2017, Vol 0, Issue 0
Abstract
Fractures of the pelvis or acetabulum concomitantly occurring with a femur fracture irrespective of their location constitute the term floating hip. These represent a wide spectrum of injury patterns which require surgical intervention. These fractures are a result of high velocity trauma secondary to road traffic accidents or fall from height. Various combinations and fracture patterns are described in the wide spectrum of floating hips. Management of these cases proceed in line with the principles of damage control orthopaedics. Fixation of unstable pelvic fractures is equivocally done with external fixators when indicated. Further guidelines with respect to the sequence of fixation of these fractures are lacking. We recommend fixation of unstable pelvic fractures with external fixator and adequate resuscitation in accordance with principles of damage control orthopaedics. Following this, preference is given to dislocation of the hip or fractures of neck of femur which endanger viability of the head of femur. The fixation of femur comes next in priority and the rest including fractures of acetabulum, sacrum, SI joint can be fixed at a later date.
Authors and Affiliations
Ramesh K Sen, Lokesh Jha
Keywords
Related Articles
- EP ID EP623024
- DOI -
- Views 100
- Downloads 0
Multi-drug resistant tuberculous spondylitis: A review of the literature
1. Multi-drug resistant tuberculous spondylitis: A review of the literature [1] – Reviewed articles on MDR- TB spondylitis till December 2015 – Osteoarticular TB represents 1- 2% and TB spondylitis 0.5- 1% of all TB ca...
Recent and relevant literature in Shoulder Arthroplasty, Arthroscopy and Trauma
1. Slow or accelerated Rehabilitation after cuff repair, A matter of time or is it? There exists lot of ambiguity in rehabilitation protocols among shoulder surgeons following arthroscopic rotator cuff repairs. It is an...
Walkathons a unique feature of JCOrth
Journal of Clinical orthopaedics is not your regular journal with original articles and strictly online academic content. Since its inception JCOrth has been planned to be a journal with a difference. Many new features h...
Journal of Clinical Orthopaedics – an academic venture of Bombay Orthopaedic Society
Bombay Orthopaedic Society (BOS) has always been in forefront of academics and education. Academic courses and content of BOS have always been known for high quality and providing best education to the new generation of...
A Malunited Fibula with raised Lateral Malleolus treated Surgically by Fibular Osteotomy and Plating
Isolated fibular fractures are often considered innocuous and treated conservatively. They may malunited and predispose the ankle to severe twisting injuries. We present one such case where the patient presented with twi...