Surgical Management of Fracture Neck of Femur in a Medically Unfit ASA3/4 Patient Selection Using Direct Infiltration Local Anaesthesia
Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=48638#.VK37cMnQrzE Author(s) Tamer Kamal , Sunil Garg , Kareem Elsorafy , Anca Duca Affiliation(s) Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK . James Paget University Hospital NHS Foundation Trust, Great Yarmouth, UK . Department of Trauma, Orthopaedics Leicester Royal Infirmary, Leicester, UK . Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK . ABSTRACT 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 we...