Forum. Femoral neck surgery using a local anaesthetic technique.

Area of Science:

• Orthopedic Surgery
• Anesthesiology
• Trauma Care

Background:

• Femoral sub-capital fractures are common injuries requiring surgical intervention.
• Effective anesthesia and analgesia are crucial for patient outcomes and minimizing complications.
• Traditional anesthesia methods may carry significant risks, including mortality and cerebrovascular events.

Purpose of the Study:

• To evaluate the safety and efficacy of femoral nerve block for internal fixation of femoral sub-capital fractures.
• To compare outcomes of femoral nerve block with ketamine/diazepam versus traditional spinal analgesia.

Main Methods:

• Thirty patients with femoral sub-capital fractures (Garden grades 1-4) underwent surgical reduction and internal fixation.
• Anesthesia was achieved using a femoral nerve block.
• Sedation and analgesia were supplemented with low-dose ketamine and diazepam.

Main Results:

• No deaths or complications were observed in the group receiving femoral nerve block anesthesia.
• A comparison group receiving spinal analgesia experienced one death and two cerebrovascular accidents.

Conclusions:

• Femoral nerve block with ketamine and diazepam is a safe and effective anesthetic technique for femoral sub-capital fracture fixation.
• This anesthetic approach may offer a reduced complication profile compared to spinal analgesia for hip fracture surgery.