Single-stage definitive fixation for floating hip injuries: evaluating functional outcomes and complications

Floating hip injuries have traditionally been managed using a staged approach following damage control principles. This study analyses patient outcomes after early definitive fixation of all fractures instead of provisional fixation with external fixators, quantifying clinical parameters to determine surgery timing.

Retrospective (2018-2021) review of 54 floating hip cases managed with early definitive fixation. Fracture patterns, perioperative and operative variables, complications, and functional outcomes (minimum 3-year follow-up) were recorded.

Mean time to surgery was 1.4 ± 0.8 days, and mean duration of hospitalization was 7.6 ± 2.3 days. 3-year Oxford Hip Score was 29.2 ± 6.6 (95% CI 27.3-31.1), EQ-5DL index score was 0.834 ± 0.08, and SF-36 Physical Component was 45.04 ± 4.5, with a positive correlation between EQ-5DL and SF-36 PCS.

Floating hip injuries are challenging due to heterogeneous fracture morphology and complications. Approach based on objective clinical cut-off values could streamline management and improve patient care.