[Perioperative management of the elderly patients undergoing hip fracture surgical repair under spinal anesthesia--a comparison between bipolar hip prosthesis and open reduction and internal fixation].

BACKGROUND

We investigated the perioperative courses of 129 elderly patients with hip fracture with different types of surgical repair under spinal anesthesia.

METHODS

All 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.

RESULTS

No 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.

CONCLUSIONS

Although 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.