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首页> 外文期刊>Open Journal of Urology >Surgical Management of Fracture Neck of Femur in a Medically Unfit ASA3/4 Patient Selection Using Direct Infiltration Local Anaesthesia
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Surgical Management of Fracture Neck of Femur in a Medically Unfit ASA3/4 Patient Selection Using Direct Infiltration Local Anaesthesia

机译：使用直接浸润局麻的医疗不佳ASA3 / 4患者选择中股骨骨折颈的外科治疗

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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.
机译：患有股骨颈骨折（NOF）的患者死亡率和发病率较高，骨折后需要长期护理的患者高达20％，骨折后又不能恢复正常的患者占30％。髋部骨折占脆性骨折总数的87％。我们描述了一种在直接浸润局麻下固定股骨颈骨折的麻醉技术。可以对患病的老年患者进行。该系列包括28例NOF骨折（24例DHS，4例假体置换术）;完成了二十三个程序（82.14％）;没有患者需要转换为其他形式的全身或脊柱麻醉; 5名患者由于躁动需要一定程度的镇静作用（17.8％）。这种方法是治疗高合并症患者的一种选择，也可以在贫困地区使用有限的手术设施进行治疗。

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