Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury

Floating hip injuries involving the acetabulum, femoral head, and the femoral shaft are a very rare presentation. A complex floating hip injury comprising of an ipsilateral acetabular fracture associated with a displaced femoral head fracture and a femoral shaft fracture following a high-velocity ro...

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Main Authors: Raja Bhaskara Rajasekaran, Dheenadhayalan Jayaramaraju, Dhanasekara Raja Palanisami, Ramesh Perumal, Rajasekaran Shanmuganathan
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/4937472
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author Raja Bhaskara Rajasekaran
Dheenadhayalan Jayaramaraju
Dhanasekara Raja Palanisami
Ramesh Perumal
Rajasekaran Shanmuganathan
author_facet Raja Bhaskara Rajasekaran
Dheenadhayalan Jayaramaraju
Dhanasekara Raja Palanisami
Ramesh Perumal
Rajasekaran Shanmuganathan
author_sort Raja Bhaskara Rajasekaran
collection DOAJ
description Floating hip injuries involving the acetabulum, femoral head, and the femoral shaft are a very rare presentation. A complex floating hip injury comprising of an ipsilateral acetabular fracture associated with a displaced femoral head fracture and a femoral shaft fracture following a high-velocity road traffic accident presented to us where all the fractures were addressed with internal fixation during the primary surgery. Postoperatively, the patient suffered a dislocation of the femoral head which eventually went on to avascular necrosis at 5 months from the initial presentation. Then, the patient underwent a total hip replacement with an acetabular reconstruction following which he went on to have a good functional outcome. Our experience in dealing with such a complex case shows that it is difficult to set a protocol for such injuries and they need to be addressed on a case-to-case basis depending on the complexity of the injury.
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id doaj-art-b719faca90f84aefa87d4f12a9fef1cf
institution Kabale University
issn 2090-6749
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language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Case Reports in Orthopedics
spelling doaj-art-b719faca90f84aefa87d4f12a9fef1cf2025-08-20T03:39:28ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/49374724937472Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip InjuryRaja Bhaskara Rajasekaran0Dheenadhayalan Jayaramaraju1Dhanasekara Raja Palanisami2Ramesh Perumal3Rajasekaran Shanmuganathan4Department of Orthopaedics & Trauma, 313 Mettupalayam Road, Ganga Medical Centre & Hospitals Pvt. Ltd., Coimbatore, IndiaDepartment of Orthopaedics & Trauma, 313 Mettupalayam Road, Ganga Medical Centre & Hospitals Pvt. Ltd., Coimbatore, IndiaDepartment of Orthopaedics & Trauma, 313 Mettupalayam Road, Ganga Medical Centre & Hospitals Pvt. Ltd., Coimbatore, IndiaDepartment of Orthopaedics & Trauma, 313 Mettupalayam Road, Ganga Medical Centre & Hospitals Pvt. Ltd., Coimbatore, IndiaDepartment of Orthopaedics & Trauma, 313 Mettupalayam Road, Ganga Medical Centre & Hospitals Pvt. Ltd., Coimbatore, IndiaFloating hip injuries involving the acetabulum, femoral head, and the femoral shaft are a very rare presentation. A complex floating hip injury comprising of an ipsilateral acetabular fracture associated with a displaced femoral head fracture and a femoral shaft fracture following a high-velocity road traffic accident presented to us where all the fractures were addressed with internal fixation during the primary surgery. Postoperatively, the patient suffered a dislocation of the femoral head which eventually went on to avascular necrosis at 5 months from the initial presentation. Then, the patient underwent a total hip replacement with an acetabular reconstruction following which he went on to have a good functional outcome. Our experience in dealing with such a complex case shows that it is difficult to set a protocol for such injuries and they need to be addressed on a case-to-case basis depending on the complexity of the injury.http://dx.doi.org/10.1155/2018/4937472
spellingShingle Raja Bhaskara Rajasekaran
Dheenadhayalan Jayaramaraju
Dhanasekara Raja Palanisami
Ramesh Perumal
Rajasekaran Shanmuganathan
Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury
Case Reports in Orthopedics
title Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury
title_full Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury
title_fullStr Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury
title_full_unstemmed Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury
title_short Ipsilateral Acetabular Fracture with Displaced Femoral Head and Femoral Shaft Fracture: A Complex Floating Hip Injury
title_sort ipsilateral acetabular fracture with displaced femoral head and femoral shaft fracture a complex floating hip injury
url http://dx.doi.org/10.1155/2018/4937472
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AT dheenadhayalanjayaramaraju ipsilateralacetabularfracturewithdisplacedfemoralheadandfemoralshaftfractureacomplexfloatinghipinjury
AT dhanasekararajapalanisami ipsilateralacetabularfracturewithdisplacedfemoralheadandfemoralshaftfractureacomplexfloatinghipinjury
AT rameshperumal ipsilateralacetabularfracturewithdisplacedfemoralheadandfemoralshaftfractureacomplexfloatinghipinjury
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