N 1 (186) 2024 р. P. 24–27

TRAUMOGENESIS OF THE FLOATING HIP IN PATIENTS WITH POLYTRAUMA

P. V. Tanasienko, S. O. Guriev, I. V. Kovalishyn

National Pirogov Memorial Medical University, Vinnytsia, Ukraine
State Institution “Ukrainian scientific and practical center of emergency medical aid and disaster medicine of the Ministry of Health of Ukraine”, Kyiv, Ukraine
Municipal non-profit enterprise “Horodok central hospital” of the Horodok City Council, Horodok, Lviv region, Ukraine

DOI 10.32782/2226-2008-2024-1-4

Introduction. Hip and pelvic injuries are one of the main causes of mortality among patients with musculoskeletal injuries. The variety of pelvic and hip injuries is not only an urgent and complex problem of modern traumatology but also a serious medical and social problem.

The purpose of the present research was to study the influence of the mechanism of occurrence and traumatogenesis of a floating hip in patients with polytrauma.

Materials and methods. To carry out the present study, we analyzed 167 cases of polytrauma with combined damage to the acetabulum and the proximal part of the thigh, which were treated at the Kyiv City Clinical Hospital of Emergency Medical Care in the period from 2013 to 2022.

Results. In patients with a floating hip and polytrauma, the main cause of injury was a traffic accident, which occurred in the vast majority of patients, and work-related injuries were more common in patients who died. Among the mechanisms of injury in the patients who survived, a direct blow prevailed, and among the patients who died, a fall from a height, but in both cases as a result of high-energy trauma.

Conclusions. The obtained data correlate with recent studies on the floating hip problem and polytrauma.

Key words: combined injury, fracture of hip and pelvis, victims, high-energy trauma.

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