Proximal femoral nail anti rotation under local anesthesia for femoral intertrochanteric fractures in high-risk patients / 中国骨伤
China Journal of Orthopaedics and Traumatology
; (12): 317-321, 2020.
Article
in Zh
| WPRIM
| ID: wpr-828299
Responsible library:
WPRO
ABSTRACT
OBJECTIVE@#To compare the clinical efficacy under local anesthesia and general anesthesia proximal femoral nail anti-rotation(PFNA) fixation for intertrochanteric fracture of femur in high risk patients.@*METHODS@#From February 2018 to February 2019, 32 patients underwent PFNA operation due to intertrochanteric fracture of femur, including 16 patients undergoing PFNA operation under local anesthesia, 9 males and 7 females, aged 54 to 98 (82.43±9.30) years and hospitalized for (10.94±5.30) days;16 patients undergoing PFNA operation under general anesthesia, 6 males and 10 females, aged 51 to 83 (72.69±9.48) years and hospitalized for (12.88±4.12) days. The patients' gender, age, fracture AO classification, preoperative VAS (visual analogue score), preoperative ASA condition grade, postoperative 1st day resting state VAS, hospitalization cost and length of stay were recorded.@*RESULTS@#All patients recovered well, the wound healed well, and the ability of lower limb activity was restored. The average follow-up time was 4.6 months. There was significant difference in age between two groups (0.05). There was no significant difference on ASA between two groups (>0.05), but there was significant difference on ASA≥grade Ⅲ between two groups (0.05).@*CONCLUSION@#Under the multi-disciplinary diagnosisand treatment mode, the method of PFNA operation is safe and feasible, the patients with local anesthesia are older, and the proportion of patients with ASA≥grade Ⅲ is higher, which is better for some elderly high-risk patients than general anesthesia.
Key words
Full text:
1
Database:
WPRIM
Main subject:
General Surgery
/
Bone Nails
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Retrospective Studies
/
Treatment Outcome
/
Femoral Fractures
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Fracture Fixation, Intramedullary
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Anesthesia, Local
Type of study:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
Language:
Zh
Journal:
China Journal of Orthopaedics and Traumatology
Year:
2020
Type:
Article