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.