Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Hip
Abstract number: 26449
LUMBAR PLEXUS AND SCIATIC NERVE BLOCK FOR ASA III PATIENTS
UNDERGOING HEMIARTHROPLASTY
Sarper GURSU 1 , Betul KOZANHAN 1 , Danyal ONAL 1 , Timur YILDIRIM 2 , Ahmet Sukru
MERCAN 3 , Vedat SAHIN 2
1 Siirt State Hospital, Siirt (TURKEY), 2 Baltalimani Bone and Joint Diseases Hospital,
Istanbul (TURKEY), 3 Urfa Research and Education Hospital, Urfa (TURKEY)
Hemiarthroplasty is a rather common procedure for patients with collum femoris
fracture. These patients are usually elderly people with many other chronic diseases
and general anesthesia and even spinal anesthesia may be troublesome for these
patients. In this paper we are presenting results of hemiarthroplasty procedure we
have performed for 4 ASA III patients under lumbar plexus and sciatic nerve
block.We have performed hemiarthroplasty procedure for four patients with collum
femoris fracture. The mean age of the patients were 79,3 years (74-87). Three of
them were females and one was a male. Preoperative evaluation revealed that all
were ASA III patients. All patients were operated under lumbar plexus and sciatic
nerve block. Cemented bipolar hemiarthroplasty was the choice of treatment. The
patients were positioned in the lateral decubitus position. The mean duration of the
surgical procedures was 55 minutes. No complications were
observed.Postoperatively a successful pain control was also achieved without using
excessive NSAIDs. Three of the patients could be mobilized on the first postoperative
day and one on the second day. General and even spinal anesthesia have obvious
risks for elder patients especially those with chronic diseases. Most anesthetics
cause catastrophic systemic problems for these patients. Local anesthesia, lumbar
plexus and sciatic nerve block in particular, decreases the risk of anesthesia and
provides better pain control postoperatively. We conclude that lumbar and sciatic
nerve block is a safe method for ASA III patients with collum femoris fracture.
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