Key result
External fixation under local anesthesia successfully achieved bone union and stable fixation without major systemic complications in three elderly patients with intertrochanteric fractures and severe medical comorbidities.
Why the study?
Does external fixation under local anesthesia provide successful treatment in elderly patients with intertrochanteric fractures and high anesthetic risk?
Case Report (n=3)
No
Does external fixation under local anesthesia provide successful treatment in elderly patients with intertrochanteric fractures and high anesthetic risk?
External fixation under local anesthesia is a viable alternative treatment for intertrochanteric fractures in elderly patients with severe medical comorbidities who are at high anesthetic risk.
The goals of surgical treatment are to obtain anatomical reduction, obtain stable fixation, and allow early rehabilitation. Results of conservative management of intertrochanteric fractures are not satisfactory due to the increased risk of cardiopulmonary complications related to immobilization. External fixation has been well- established as an alternative treatment modality for intertrochanteric fractures in elderly and medically- compromised patients. The authors reviewed the related literature and reported on three cases of elderly patients that suffered from intertrochanteric fractures and had severe medical co-morbidities. They were successfully treated by external fixation under local anesthesia.
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Lee et al. (2012) conducted a case report in Intertrochanteric fracture with high anesthetic risk (n=3). External fixation under local anesthesia was evaluated on Bone union and stable fixation. External fixation under local anesthesia successfully achieved bone union and stable fixation without major systemic complications in three elderly patients with intertrochanteric fractures and severe medical comorbidities.
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