• Satoshi Yamaguchi, Jiro Kitamura, and Keiko Yamamoto.
• Division of Anesthesia, Tokatsu Hospital, Nagareyama 270-0174.
• Masui. 2013 Aug 1;62(8):916-23.

BackgroundWe investigated the perioperative courses of 129 elderly patients with hip fracture with different types of surgical repair under spinal anesthesia.MethodsAll 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.ResultsNo 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.ConclusionsAlthough 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.

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