Abstract
The aim of this study is to compare total hip prosthesis (THP), partial hip prosthesis (PHP), and proximal femoral nail (PFN) patients in terms of the chosen anesthetic method. A total of 850 patients who underwent hip surgery were divided into 3 groups according to the operation type: PHP (n=281), PFN (n=393), and THP (n=176). The type of anesthesia administered, interventions during anesthesia, and complications were retrospectively evaluated. The groups were compared in terms of patient age, American Society of Anesthesiologists (ASA) scores, chosen anesthetic method, operation duration, colloid use during operation, use of antihypertensive medication, use of vasoconstrictor medication, development of hypotension, blood transfusion administered, development of cardiac arrest, requirements for intensive care after operation, and use of a central catheter. In the THP group, the mean age of patients was significantly lower as compared to the PHP and PFN groups. The duration of operation was lower in the PFN group as compared to the other two groups. In the THP group, general anesthesia was significantly high, while in the PFN group, regional anesthetic administration was high. While colloid use was greater in the PFN group, the blood transfusion rate was higher in the THP group. The use of antihypertensive medication was higher in the THP group as compared to the other groups. Although all three anesthetic methods could be used in hip surgery, the type of anesthesia should be chosen according to the type of hip surgery considering the duration of operation, age of the patient, and blood lost during the operation.
Highlights
A variety of surgical procedures in hip surgery are performed under regional or general anesthesia
While colloid use was greater in the proximal femoral nail (PFN) group, the blood transfusion rate was higher in the Total hip prosthesis (THP) group
The greater use of general anesthesia in THP operations is due to the length of the operation and the low mean age of patients
Summary
A variety of surgical procedures in hip surgery are performed under regional or general anesthesia. The factors affecting the selection of anesthesia are characteristics of the patient, experience of the anesthetist, patient’s preference, surgeon’s preference, duration of operation, and contraindications to general or regional anesthesia. Total hip prosthesis (THP), partial hip prosthesis (PHP), and proximal femoral nail (PFN) are surgical techniques used in hip surgery. All the three surgeries have different characteristics in a number of ways. The anesthetic method used in hip surgery, selected according to patient characteristics and choice in addition to the type of operation, may be beneficial to reduce postoperative complications and mortality. When articles related to this topic to date were perused, there was no retrospective study comparing cases according to the operation type
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
