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
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