Case Report
Hip Pelvis 2012; 24(2): 153-159
Published online June 1, 2012
https://doi.org/10.5371/hp.2012.24.2.153
© The Korean Hip Society
External Fixation Under Local Anesthesia in Intertrochanteric Fracture Patients with High Anesthetic Risk - 3 Case Reports -
Correspondence to : Ho Hyun Yun, MD
Department of Orthopedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon-dong, Gangdong-gu, Seoul 134-791, Korea
TEL: +82-2-2226-1114 FAX: +82-2-2226-1910
E-mail: yun8813@paran.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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.
Keywords Hip, Intertrochanteric fracture, External fixation, Local anesthesia
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Case Report
Hip Pelvis 2012; 24(2): 153-159
Published online June 1, 2012 https://doi.org/10.5371/hp.2012.24.2.153
Copyright © The Korean Hip Society.
External Fixation Under Local Anesthesia in Intertrochanteric Fracture Patients with High Anesthetic Risk - 3 Case Reports -
Woo Seung Lee, MD, Ho Hyun Yun, MD, Jung-Ro Yoon, MD, Sung Chul Park, MD
Department of Orthopedic Surgery, Seoul Veterans Hospital, Seoul, Korea
Correspondence to:Ho Hyun Yun, MD
Department of Orthopedic Surgery, Seoul Veterans Hospital, 6-2 Dunchon-dong, Gangdong-gu, Seoul 134-791, Korea
TEL: +82-2-2226-1114 FAX: +82-2-2226-1910
E-mail: yun8813@paran.com
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
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.
Keywords: Hip, Intertrochanteric fracture, External fixation, Local anesthesia
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