- See:
Anesthesia Considerations and Timing:
- PreOp Management:
- Etiology of Fracture:
-
arrhythmia: consider continuous monitoring;
- hypoxia
-
osteoporosis
-
pathologic hip fractures
-
seizure
-
stroke
- Functional Status:
- ambulation status
-
medications:
- medical conditions
- Positioning:
- pt is most comfortable w/ pillow under knee & hip mod. flexed, which relaxes
capsule & reduces pressure on & pain in the hip;
- buck's traction:
- Exam:
- r/o dental, GI, & GU;
-
decubit
- r/o previous hip surgery
- limb is markedly shortened w/ upto 90 deg of external rotation deformity > seen w/
femoral neck fracture;
- swelling and ecchymosis over the greater trochanter;
- rarely present as
open fractures;
- attempts to move extremity are painful and are avoided;
- Radiographic Findings:
-
classification
-
stable frx
-
unstable intertrochanteric fractures:
-
reversed obliquity:
-
type-IV
- Pre-Operative Planning:
-
anesthesia for hip fractures:
- posting;
-
closed reduction,
open reduction, & hemiarthroplasty;
- template for fracture fragments;
-
sliding screw insertion technique:
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