浮动髋关节损伤:描述性研究和病例对照分析。

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-01-01 Epub Date: 2023-03-13 DOI:10.1177/11207000231160075
Mark Y Z Wong, Marios Ghobrial, Win M Han, Joseph Alsousou, Andrew Carrothers, Peter Hull, Daud Chou, Jaikirty Rawal
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引用次数: 0

摘要

目的:"浮动髋"(FH)损伤是一种罕见的损伤,是指股骨和骨盆或髋臼(P/A)同时发生同侧骨折。我们描述了我们对 FH 损伤患者的经验,并将他们与有类似 P/A 骨折但未累及股骨的对照组进行了比较:我们回顾了2015年至2020年期间在我们的三级中心就诊的FH患者和对照组的病历和X光片。还从门诊临床记录中提取了随访数据。对照组根据年龄、性别、体重指数、骨折分类和损伤能量进行了广泛匹配:从记录的 1392 例 P/A 骨折中,发现了 42 例 FH(平均年龄 39 岁,78.6% 为男性)。最常见的股骨骨折是股骨中轴(35.7%),其次是股骨颈(26.2%)。90.5%的股骨头损伤是由高能量机制造成的。64.3%的P/A骨折和100%的股骨骨折通过手术治疗。与对照组相比,FH病例更有可能出现额外的骨科损伤(73.8%对40.5%,P = 0.002)、更多的入院次数(平均2.5次对1.19次,P 0.001)、更长的住院时间(28.3天对14.9天,P = 0.02)以及更高的术后并发症发生率(53.8%对20%,P = 0.025):我们报告了 FH 损伤与对照组在表现、管理和结果方面的差异,即使在对混杂因素进行广泛匹配后也是如此。这些差异可能会为未来的 FH 损伤治疗策略提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The floating hip injury: a descriptive study and case-control analysis.

Purpose: A "floating hip" (FH) injury is a rare injury describing the simultaneous ipsilateral fracture of the femur and pelvis or acetabulum (P/A). We describe our experience with patients presenting with FH injuries and compare them to controls with similar P/A fractures but without femoral involvement.

Methods: Medical records and radiographs of FH patients and controls presenting to our tertiary centre between 2015 and 2020 were reviewed. Follow-up data from outpatient clinical records were also extracted. The control group were extensively matched by age, sex, body mass index, fracture classification and energy of injury.

Results: From 1392 recorded P/A fractures, 42 FH cases were identified (average age 39 years, 78.6% males). The most common femoral fracture was the midshaft (35.7%), followed by the neck of femur (26.2%). 90.5% of FH injuries were due to high-energy mechanisms. 64.3% of P/A fractures, and 100% of femoral fractures were managed surgically. Compared to controls, FH cases were more likely to have additional orthopaedic injuries (73.8% vs. 40.5%, p= 0.002), more total theatre admissions (mean 2.5 vs. 1.19, p< 0.001), longer hospital stays (28.3 vs. 14.9 days, p= 0.02), and a higher rates of post-op complications (53.8% vs. 20%, p= 0.025).

Conclusions: We report differences in the presentation, management, and outcomes of FH injuries versus controls, even after extensive matching for confounders. These differences may inform future treatment strategies for the FH injury.

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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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