Successful General Anesthesia for Intertrochanteric Femur Fracture in a 101-Year-Old Patient: A Case Report

Hip fractures in centenarian patients represent an extreme perioperative challenge, with very limited published data on anesthetic safety in this cohort. We report a 101-year-old woman with no significant comorbidities (American Society of Anesthesiologists (ASA) physical status III) who sustained an intertrochanteric femur fracture and underwent successful surgical fixation under general anesthesia. Hemodynamic stability was maintained throughout the procedure without the need for vasopressors or inotropic support. The postoperative course was entirely uneventful; the patient was mobilized with physiotherapy assistance on postoperative day 1 and discharged home on postoperative day 3 in good condition. This case demonstrates that, with thorough preoperative risk stratification and vigilant intraoperative monitoring, centenarian patients can safely undergo hip fracture surgery under general anesthesia. Reporting such cases is essential to expand the limited evidence base guiding perioperative management in the super-elderly population.