Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia
Background: Many patients who suffer from hip fractures have multiple medical comorbidities and there are risks when undergoing spinal or general anaesthesia. In fact, screw fixation can be performed under local anaesthesia infiltration for undisplaced femoral neck fracture, thus enabling patients f...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2012-12-01
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| Series: | Journal of Orthopaedics, Trauma and Rehabilitation |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2210491712000413 |
| _version_ | 1818452991049465856 |
|---|---|
| author | Chor-Yat Chung Sze-Hung Wong |
| author_facet | Chor-Yat Chung Sze-Hung Wong |
| author_sort | Chor-Yat Chung |
| collection | DOAJ |
| description | Background: Many patients who suffer from hip fractures have multiple medical comorbidities and there are risks when undergoing spinal or general anaesthesia. In fact, screw fixation can be performed under local anaesthesia infiltration for undisplaced femoral neck fracture, thus enabling patients for early mobilisation and rehabilitation.
Methods: Ten patients had screw fixation performed under local anaesthesia. Parameters including pain tolerability, operation time, time to mobilisation after operation, hospital stay, and surgical outcomes were measured.
Results: All 10 patients were able to complete the operation under local anaesthesia with minimal pain during the intraoperative period. No extra sedation, any form of intraoperative analgesia, or conversion to other form of anaesthesia was needed. No local wound or implant-related complication was detected in the early postoperative period. An average of 23.1 months (range: 17–28 months) follow-up showed all fractures had healed without any implant-related complications or avascular necrosis of the femoral head.
Conclusion: Screw fixation can be performed safely under local anaesthesia in selected patients who have high-risk of spinal or general anaesthesia in order to accelerate their rehabilitation. |
| first_indexed | 2024-12-14T21:31:53Z |
| format | Article |
| id | doaj.art-21e40b6bf5254e4399f29e2f4c6f899e |
| institution | Directory Open Access Journal |
| issn | 2210-4917 |
| language | English |
| last_indexed | 2024-12-14T21:31:53Z |
| publishDate | 2012-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedics, Trauma and Rehabilitation |
| spelling | doaj.art-21e40b6bf5254e4399f29e2f4c6f899e2022-12-21T22:46:39ZengSAGE PublishingJournal of Orthopaedics, Trauma and Rehabilitation2210-49172012-12-01162555810.1016/j.jotr.2012.09.003Performing Screw Fixation for Femoral Neck Fractures under Local AnaesthesiaChor-Yat ChungSze-Hung WongBackground: Many patients who suffer from hip fractures have multiple medical comorbidities and there are risks when undergoing spinal or general anaesthesia. In fact, screw fixation can be performed under local anaesthesia infiltration for undisplaced femoral neck fracture, thus enabling patients for early mobilisation and rehabilitation. Methods: Ten patients had screw fixation performed under local anaesthesia. Parameters including pain tolerability, operation time, time to mobilisation after operation, hospital stay, and surgical outcomes were measured. Results: All 10 patients were able to complete the operation under local anaesthesia with minimal pain during the intraoperative period. No extra sedation, any form of intraoperative analgesia, or conversion to other form of anaesthesia was needed. No local wound or implant-related complication was detected in the early postoperative period. An average of 23.1 months (range: 17–28 months) follow-up showed all fractures had healed without any implant-related complications or avascular necrosis of the femoral head. Conclusion: Screw fixation can be performed safely under local anaesthesia in selected patients who have high-risk of spinal or general anaesthesia in order to accelerate their rehabilitation.http://www.sciencedirect.com/science/article/pii/S2210491712000413femoral neck fracturehip fracturelocal anaesthesiascrew fixation |
| spellingShingle | Chor-Yat Chung Sze-Hung Wong Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia Journal of Orthopaedics, Trauma and Rehabilitation femoral neck fracture hip fracture local anaesthesia screw fixation |
| title | Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia |
| title_full | Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia |
| title_fullStr | Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia |
| title_full_unstemmed | Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia |
| title_short | Performing Screw Fixation for Femoral Neck Fractures under Local Anaesthesia |
| title_sort | performing screw fixation for femoral neck fractures under local anaesthesia |
| topic | femoral neck fracture hip fracture local anaesthesia screw fixation |
| url | http://www.sciencedirect.com/science/article/pii/S2210491712000413 |
| work_keys_str_mv | AT choryatchung performingscrewfixationforfemoralneckfracturesunderlocalanaesthesia AT szehungwong performingscrewfixationforfemoralneckfracturesunderlocalanaesthesia |