Surgical Management of Fracture Neck of Femur in a Medically Unfit ASA3/4 Patient Selection Using Direct Infiltration Local Anaesthesia

• 作者: Anca Duca Kareem Elsorafy Sunil Garg Tamer Kamal
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: FRACTURE NECK of FEMUR LOCAL INFILTRATION ASA4
• 年，卷（期）: 2014,（8）
• 页码范围: 195-199
• 页数: 5页
• 分类号: R73

摘要

Patients who suffer a Fractured Neck of Femur (NOF) have a high mortality and morbidity rate with up to 20% needing long term care post fracture and a further 30% not returning to their pre fracture functioning. Hip fracture accounts for 87% of total fragility fractures. We describe an anaesthetic technique of fixation of fracture of the femoral neck under direct infiltration local anaesthesia;that can be performed on the sick elderly patient. Twenty-eight NOF fractures were included in this series (24 DHS, 4 Hemiarthroplasty);twenty-three procedures were completed (82.14%);no patient required conversion to another form of anaesthesia either general or spinal;five patients required some degree of light sedation due to agitation (17.8%). This method presents itself as an option in managing patient with high comorbidities which can also be implemented in impoverished areas with limited access to operating surgical facilities.