The irreducible floating hip: a unique presentation of a rare injury.
Publication/Presentation Date
10-4-2013
Abstract
A floating hip injury occurs in the setting of poly-trauma and is a rare and difficult problem to manage. Floating hip injuries require vigilant attention not only to the osseous injuries but also the surrounding compartments and soft tissue envelope. We report the case of a 35-year-old male with a lower extremity posterior wall acetabular fracture, ipsilateral femoral shaft fracture and a postero-superior hip dislocation. Closed reduction failed, necessitating an open reduction internal fixation of his hip dislocation and acetabular fracture. The patient then developed a thigh compartment syndrome requiring a fasciotomy. Despite the obvious bony injuries, orthopedic surgeons must be vigilant of the neurovascular structures and soft tissues that have absorbed a great amount of force. A treatment plan should be formulated based on the status of the overlying soft tissue, fracture pattern and the patient's physiologic stability.
Volume
2013
Issue
10
ISSN
2042-8812
Published In/Presented At
Tiedeken, N. C., Saldanha, V., Handal, J., & Raphael, J. (2013). The irreducible floating hip: a unique presentation of a rare injury. Journal of surgical case reports, 2013(10), rjt075. https://doi.org/10.1093/jscr/rjt075
Disciplines
Medicine and Health Sciences
PubMedID
24964321
Department(s)
Department of Surgery
Document Type
Article