Serviço de Ortopedia e Traumatologia Prof. Nova Monteiro, Hospital Municipal Miguel Couto, Rua Mário Ribeiro 117/2° Andar, Gávea, Rio de Janeiro, RJ, 22430-160, Brazil.
Clínica São Vicente, Rede D'or São Luiz, Rio de Janeiro, Brazil.
Eur J Trauma Emerg Surg. 2023 Oct;49(5):2057-2069. doi: 10.1007/s00068-023-02277-x. Epub 2023 May 9.
To systematically review the currently available existing evidence related to the presentation and management of simultaneous floating hip and knee injuries to identify injury characteristics, treatment strategies, and complications.
Data sources: Relevant articles were identified by searching Medline, PubMed, and Google Scholar databases with no language restrictions. Manual searches of other relevant databases (SciELO and grey literature databases) and reference lists of primary articles found from initial searches were also conducted.
All types of study designs published from January 1st, 2000 to October 1st, 2022 involving skeletally mature patients with simultaneous floating hip and knee injuries were included.
Basic information and specific injury-related information were collected.
Eight case reports were included. No study adequately reported the case with sufficient detail to allow other investigators to make inferences, nor was the result properly calculated, nor was the follow-up considered adequate for adequate functional assessment to occur in 80% of the studies.
The exact treatment strategy and the follow-up time are not uniform across the included studies; therefore, they are not sufficient to adequately recommend surgical approach, timing of fixation, and fixation method. Our findings warrant the need for better documentation and reporting information about the mode of treatment of simultaneous floating hip and knee injuries.
系统回顾目前与同时发生的浮动髋和膝关节损伤的表现和处理相关的现有证据，以确定损伤特征、治疗策略和并发症。
数据来源：通过无语言限制地搜索 Medline、PubMed 和 Google Scholar 数据库，确定相关文章。还对其他相关数据库（SciELO 和灰色文献数据库）进行了手动搜索，并对从初步搜索中找到的主要文章的参考文献列表进行了搜索。
纳入了 2000 年 1 月 1 日至 2022 年 10 月 1 日期间发表的所有类型的研究设计，涉及同时发生的浮动髋和膝关节损伤的骨骼成熟患者。
收集了基本信息和特定的损伤相关信息。
纳入了 8 例病例报告。没有研究充分报告病例细节，以便其他研究人员进行推断，也没有正确计算结果，也没有考虑到足够的随访时间，以对 80%的研究进行充分的功能评估。
纳入研究的治疗策略和随访时间并不统一；因此，不足以充分推荐手术方法、固定时间和固定方法。我们的研究结果表明，需要更好地记录和报告同时发生的浮动髋和膝关节损伤的治疗模式信息。
