Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis

Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis

Introduction: 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 t...

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Autores principales: Hammad Abdullah Said, Rashed Ramy Ahmed, Abu-Sheasha Ghada, El-Bakoury Ahmed
Formato: article
Lenguaje:EN
Publicado: EDP Sciences 2021
Materias:
floating hip
quality of life
functional outcome
ipsilateral femoral and acetabular fractures
Orthopedic surgery
RD701-811
Acceso en línea:https://doaj.org/article/df5b708a0f584ce38b98abf2af7007d3
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spelling oai:doaj.org-article:df5b708a0f584ce38b98abf2af7007d32021-11-08T15:22:14ZFunctional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis2426-888710.1051/sicotj/2021050https://doaj.org/article/df5b708a0f584ce38b98abf2af7007d32021-01-01T00:00:00Zhttps://www.sicot-j.org/articles/sicotj/full_html/2021/01/sicotj210078/sicotj210078.htmlhttps://doaj.org/toc/2426-8887Introduction: 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. Methods: 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). Results: 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. Conclusions: 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.Hammad Abdullah SaidRashed Ramy AhmedAbu-Sheasha GhadaEl-Bakoury AhmedEDP Sciencesarticlefloating hipquality of lifefunctional outcomeipsilateral femoral and acetabular fracturesOrthopedic surgeryRD701-811ENSICOT-J, Vol 7, p 52 (2021)
institution DOAJ
collection DOAJ
language EN
topic floating hip
quality of life
functional outcome
ipsilateral femoral and acetabular fractures
Orthopedic surgery
RD701-811
spellingShingle floating hip
quality of life
functional outcome
ipsilateral femoral and acetabular fractures
Orthopedic surgery
RD701-811
Hammad Abdullah Said
Rashed Ramy Ahmed
Abu-Sheasha Ghada
El-Bakoury Ahmed
Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
description Introduction: 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. Methods: 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). Results: 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. Conclusions: 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.
format article
author Hammad Abdullah Said
Rashed Ramy Ahmed
Abu-Sheasha Ghada
El-Bakoury Ahmed
author_facet Hammad Abdullah Said
Rashed Ramy Ahmed
Abu-Sheasha Ghada
El-Bakoury Ahmed
author_sort Hammad Abdullah Said
title Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
title_short Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
title_full Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
title_fullStr Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
title_full_unstemmed Functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
title_sort functional outcome and health-related quality of life following ipsilateral femoral and acetabular fractures: a retrospective analysis
publisher EDP Sciences
publishDate 2021
url https://doaj.org/article/df5b708a0f584ce38b98abf2af7007d3
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AT abusheashaghada functionaloutcomeandhealthrelatedqualityoflifefollowingipsilateralfemoralandacetabularfracturesaretrospectiveanalysis
AT elbakouryahmed functionaloutcomeandhealthrelatedqualityoflifefollowingipsilateralfemoralandacetabularfracturesaretrospectiveanalysis
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