[Perioperative management of the elderly patients undergoing hip fracture surgical repair under spinal anesthesia--a comparison between bipolar hip prosthesis and open reduction and internal fixation]

Abstract

Background: We investigated the perioperative courses of 129 elderly patients with hip fracture with different types of surgical repair under spinal anesthesia.

Methods: All patients above 80 years of age were divided into the following two groups: bipolar hip prosthesis group (BH group, n = 54) and open reduction and internal fixation group (OR group, n = 75). We examined their perioperative courses retrospectively using medical and anesthetic records.

Results: No significant differences were observed between two groups in pre- and postoperative complications; hemodynamics, oxygenation and amount of bleeding during surgery; perioperative blood transfusion and postoperative 1-month morbidity. Only the final morbidity of OR group was significantly higher than that of BH group (10.7% vs. 0%). However, perioperative course was almost stable in both groups.

Conclusions: Although the elderly patients with hip fracture have several pre- and postoperative complications, it is likely that they can fare well during perioperative period under spinal anesthesia regardless of the type of surgical repair.