What question did this study set out to answer?

This research aims to evaluate the safety and feasibility of combining local anesthesia with monitored anesthesia care in high-risk patients with proximal femoral fractures.

April 25, 2026

Use of Local Anesthesia Combined with Monitored Anesthesia Care in Cephalomedullary Nailing for Proximal Femoral Fractures: A Minimally Invasive Approach for High-Risk Surgical Candidates.

Key Result

Local anesthesia with monitored anesthesia care decreases morbidity, mortality, hospital stay, and surgical time in high-risk patients with proximal femur fractures.

Key Points

This research aims to evaluate the safety and feasibility of combining local anesthesia with monitored anesthesia care in high-risk patients with proximal femoral fractures.
Patients received local anesthesia with monitored anesthesia care during cephalomedullary nailing surgery.
Focus on outcomes related to morbidity, mortality, hospital stay, and surgical time.
Significant reduction in morbidity and mortality rates.
Decreased length of hospital stay compared to traditional anesthesia methods.
Reduced surgical time without compromising patient safety.

Structured PICO

Does local anesthesia combined with monitored anesthesia care reduce morbidity, mortality, length of stay, and surgical time in high-risk patients with proximal femur fractures?

Population

High-risk patients with proximal femur fractures when general or spinal anesthesia is contraindicated

Intervention

Local anesthesia combined with monitored anesthesia care during cephalomedullary nailing

Outcome

Morbidity and mortality rates, length of hospital stay, and surgical timehard clinical

Local anesthesia with monitored anesthesia care is a feasible and safe alternative for high-risk patients undergoing cephalomedullary nailing for proximal femur fractures.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

Local anesthesia with monitored anesthesia care may be a feasible and safe alternative for high-risk patients with proximal femur fractures when general or spinal anesthesia is contraindicated. This approach decreases morbidity and mortality rates while effectively reducing length of hospital stay and surgical time.

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