Hammad Abdullah Said, Rashed Ramy Ahmed, Abu-Sheasha Ghada, El-Bakoury Ahmed
Associate Professor Orthopaedic Surgery and Traumatology, Elhadra University Hospital, Faculty of Medicine, Alexandria, Egypt.
Clinical Fellow Trauma and Orthopaedics, University Hospitals Plymouth NHS Trust, Plymouth PL68DH, UK.
SICOT J. 2021;7:52. doi: 10.1051/sicotj/2021050. Epub 2021 Oct 28.
The combination of ipsilateral femoral and acetabular fractures is known in the literature as the "Floating hip injury". The primary aim of this study is to assess both generic and specific patient-reported outcomes and the factors affecting the quality of life in patients sustaining this injury, while the secondary aim was to assess the injury patterns and the associated complications.
A retrospective study including 27 patients according to specific inclusion and exclusion criteria. EQ5D5L and Oxford hip score (OHS) were used. The mean age was 28 years (±10.1 SD) and 21 patients (77.8%) were males. The mean follow-up was 7 years (± 3.1 years SD).
Median OHS was 46.5 (IQR: 31.5-48). The median EQ5D score was 0.919 (95% CI: 0.601-1). The mean EQ5D index value was 0.679 ± 0.442 (95% CI: 0.492-0.865). In this young cohort of patients, this drop in the mean EQ5D index value has led to a loss of a mean of 2.2 Quality-adjusted Life Years (QALYs). Through multivariate analysis, we found that the quality of life was mainly affected by the occurrence of end-stage arthritis, the presence of non-recovered traumatic sciatic nerve injury, and the occurrence of infection.
Our findings show that the quality of life of those patients was significantly affected. These findings can be beneficial in counselling patients sustaining this complex injury and could be helpful in the discussion of the prognosis and in planning postoperative rehabilitation and support.
同侧股骨骨折和髋臼骨折同时出现的情况在文献中被称为“浮动髋损伤”。本研究的主要目的是评估患者报告的一般和特定结果以及影响此类损伤患者生活质量的因素，次要目的是评估损伤模式及相关并发症。
根据特定的纳入和排除标准进行一项回顾性研究，共纳入27例患者。使用了EQ5D5L和牛津髋关节评分（OHS）。平均年龄为28岁（标准差±10.1），21例患者（77.8%）为男性。平均随访时间为7年（标准差±3.1年）。
OHS中位数为46.5（四分位间距：31.5 - 48）。EQ5D评分中位数为0.919（95%置信区间：0.601 - 1）。EQ5D指数平均值为0.679±0.442（95%置信区间：0.492 - 0.865）。在这个年轻患者队列中，EQ5D指数平均值的下降导致平均损失2.2个质量调整生命年（QALYs）。通过多变量分析，我们发现生活质量主要受终末期关节炎的发生、未恢复的创伤性坐骨神经损伤的存在以及感染的发生影响。
我们的研究结果表明，这些患者的生活质量受到显著影响。这些结果有助于为遭受这种复杂损伤的患者提供咨询，并有助于讨论预后以及规划术后康复和支持。
