External Fixation Under Local Anesthesia in Intertrochanteric Fracture Patients with High Anesthetic Risk: 3 Case Reports / 대한고관절학회지

ABSTRACT

The goals of surgical treatment are to obtain anatomical reduction, obtain stable fixation, and allow early rehabilitation. Results of conservative management of intertrochanteric fractures are not satisfactory due to the increased risk of cardiopulmonary complications related to immobilization. External fixation has been well-established as an alternative treatment modality for intertrochanteric fractures in elderly and medically-compromised patients. The authors reviewed the related literature and reported on three cases of elderly patients that suffered from intertrochanteric fractures and had severe medical co-morbidities. They were successfully treated by external fixation under local anesthesia.