Perioperative management of the elderly patients undergoing hip fracture surgical repair under spinal anesthesia--a comparison between bipolar hip prosthesis and open reduction and internal fixation

We investigated the perioperative courses of 129 elderly patients with hip fracture with different types of surgical repair under spinal anesthesia. All patients above 80 years of age were divided into the following two groups: bipolar hip prosthesis group (BH group, n = 54) and open reduction and i...

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Bibliographic Details
Published inMasui. The Japanese journal of anesthesiology Vol. 62; no. 8; p. 916
Main Authors Yamaguchi, Satoshi, Kitamura, Jiro, Yamamoto, Keiko
Format Journal Article
LanguageJapanese
Published Japan 01.08.2013
Subjects
Aged, 80 and over
Anesthesia, Spinal
Fracture Fixation, Internal
Hip Fractures - surgery
Hip Prosthesis
Humans
Perioperative Care - methods
Perioperative Period
Postoperative Complications
Retrospective Studies
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Summary:We investigated the perioperative courses of 129 elderly patients with hip fracture with different types of surgical repair under spinal anesthesia. All patients above 80 years of age were divided into the following two groups: bipolar hip prosthesis group (BH group, n = 54) and open reduction and internal fixation group (OR group, n = 75). We examined their perioperative courses retrospectively using medical and anesthetic records. No significant differences were observed between two groups in pre- and postoperative complications; hemodynamics, oxygenation and amount of bleeding during surgery; perioperative blood transfusion and postoperative 1-month morbidity. Only the final morbidity of OR group was significantly higher than that of BH group (10.7% vs. 0%). However, perioperative course was almost stable in both groups. Although the elderly patients with hip fracture have several pre- and postoperative complications, it is likely that they can fare well during perioperative period under spinal anesthesia regardless of the type of surgical repair.
ISSN:0021-4892