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.