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MINIMALLY INVASIVE HIP FRACTURE SURGERY USING SWISS NAIL IN A 85 YEAR OLD ON PACEMAKER & RENAL FAILURE, Bangalore

 
 
85 yr old woman hypertensive , chronic renal failure, diabetic , on pacemaker( High risk for surgery) came from a town 500 kms away as  the local doctor referred her to us  for the treatment of the badly comminuted trochanteric fracture
 
 
 
 
 
 
we used a Swiss Titanium / Proximal femoral nail/ PFNA  - 17 cms , Incision- 2 cms
Surgery time 35 min
Blood loss 30- 40 ml
Anaesthetic team involved a cardiac anaesthetist and a regular one
pacemaker( set to 74 , synchronous mode) technician was in theater
no electrocautery used
Patient doing well , walking with walker by second day .
 
 
 
 
 
 
 
 
 
Intra operative photo of swiss nail
 
 
 
 
post operative x ray
 
THIS CASE ILLUSTRATES THE IMPORTANCE OF OUR TEAMS CAPABILITY TO HANDLE HIGH RISK CASES.
 
 


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