Epidemiological Study of Floating Hip Injuries in Assiut University Hospitals

Hip Fractures Clinical Trial

Official title:

Epidemiological Study of Floating Hip Injuries in Assiut University Hospitals

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06344039
• Other study ID #: Floating hip
• Status: Not yet recruiting
• Start date: April 2024
• Est. completion date: May 2025

Study information

• Verified date: April 2024
• Source: Assiut University
• Contact: Omar Y Mohamed, Bachelor's degree
• Phone: +201111448817
• Email: Omar.15235452[@]med.aun.edu.eg
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: May 2025
• Est. primary completion date: April 2025
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

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

Related Conditions & MeSH terms

• Hip Fractures
• Hip Injuries
• Wounds and Injuries

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (11)

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. Erratum In: Int Orthop. 2021 Nov 29;: — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

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. — View Citation

Wu CL, Tseng IC, Huang JW, Yu YH, Su CY, Wu CC. Unstable pelvic fractures associated with femoral shaft fractures: a retrospective analysis. Biomed J. 2013 Mar-Apr;36(2):77-83. doi: 10.4103/2319-4170.110401. — View Citation

Yang Y, Zou C, Fang Y, Shakya S. Medium-term clinical results in patients with floating hip injuries. BMC Surg. 2023 Feb 20;23(1):40. doi: 10.1186/s12893-023-01927-6. — View Citation

Zamora-Navas P, Guerado E. Vascular complications in floating hip. Hip Int. 2010;20 Suppl 7:S11-8. doi: 10.1177/11207000100200s703. Epub 2010 May 27. — View Citation

* Note: There are 11 references in all — Click here to view all references

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Incidence of floating hip injuries	Determination of the incidence rate of injury by calculating new cases / total number of trauma cases admitted in the time frame from 2018-2023	From 2018-2023
Primary	Patterns of injury	Determination of patterns of injury using the liebergall classification . Fractures are classified into A, B, and C and their percentages over the total number of cases will be calculated	2018-2023