Gu-Hee Jung; Jong-Seo Lee; Sung-Gun Heo; Jae-Do Kim; Hyun-Ik Cho

doi:10.12671/jkfs.2014.27.4.261

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Original Article
Surgical Fitness for Trochanteric Fracture in Elderly: Prospective Study: Gu-Hee Jung, M.D., Jong-Seo Lee, M.D., Sung-Gun Heo, M.D., Jae-Do Kim, M.D., Ph.D., Hyun-Ik Cho, M.D.; Journal of the Korean Fracture Society 2014;27(4):261-266.
DOI: https://doi.org/10.12671/jkfs.2014.27.4.261
Published online: October 20, 2014

Department of Orthopaedic Surgery, Kosin University College of Medicine, Busan, Korea.

^*Department of Orthopaedic Surgery, Gijang Hospital, Busan, Korea.

Address reprint requests to: Gu-Hee Jung, M.D. Department of Orthopaedic Surgery, Kosin University College of Medicine, 262 Gamcheon-ro, Seo-gu, Busan 602-702, Korea. Tel: 82-51-990-6785, Fax: 82-51-243-0181, jyujin2001@kosin.ac.kr

• Received: May 27, 2014 • Revised: June 12, 2014 • Accepted: September 18, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
NOTES
REFERENCES

Abstract

Purpose
The purpose of this study was to evaluate the risks of undergoing intramedullary nailing with minimum surgical optimization (fast-track) for geriatric trochanter fracture due to fall from a standing height.
Materials and Methods
From May 2006 to August 2013, 48 fractures were enrolled in fast-track, and were an average age of patients was 77.6 years (range, 62-97 years). They underwent primary testing for anesthesia, including basic body fluid test, arterial blood, electrocardiography, and chest radiographs. The time from visit to surgery was 28.9 hours (range, 1-96 hours).
Results
During hospitalization, there was one case of stress-induced cardiac arrest; however, other complications, infection, and 30-day mortality did not occur. According to preoperative classic test, the average albumin was 3.45 g/dl, blood sugar, 169 mg/dl, blood urea nitrogen, 20.5 mg/dl, Cr, 1.5 mg/dl, Na, 135.3 mEq/L, and K, 4.21 mEq/L. The average PaCO₂ of arterial blood was 37.6 mmHg.
Conclusion
We found that the fast-track for trochanteric fracture due to slip-down was relatively safe, and could be considered as a therapeutic approach.
Key words: Femur, Osteoporotic fractures, Intramedullary nailing

Financial support: None.

Conflict of interest: None.

REFERENCES

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Table 1

Summary of Fast-Tracker

Values are presented as median (range) or number only. ^*The time from hospital visit to surgery. ^†Systolic blood pressure at hospital visit. ^‡Serum level. ^§Analysis of arterial blood. ^∥Cardiothoracic ratio on chest radiographs. BP: Blood pressure, ER: Emergency room, BUN: Blood urea nitrogen.

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Surgical Fitness for Trochanteric Fracture in Elderly: Prospective Study

J Korean Fract Soc. 2014;27(4):261-266. Published online October 31, 2014

DOI: https://doi.org/10.12671/jkfs.2014.27.4.261

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Surgical Fitness for Trochanteric Fracture in Elderly: Prospective Study

Table 1

Summary of Fast-Tracker

Table 1 Summary of Fast-Tracker