Anaesthetic Management of COVID-19 Suspected Patient Posted For Proximal Femoral Nailing – A Case Report

Tumors in the posterior fossa can be done in lateral, supine, prone, sitting and in park bench positions. Depending on the exact position of the lesion and the technical preference of the surgeon, sitting position may be preferred. Sitting position grants best possible access to deeper structures with minimal retraction. However, maintenance of anaesthesia in this position for long duration pose some serious challenges to the anaesthesiologist including high risk of venous air embolism (VAE), hemodynamic instability and respiratory disturbances. Here, we present a case report of a 36year old male diagnosed with pineal gland space occupying lesion (SOL), operated in the sitting position under general anaesthesia. We discuss about anaesthetic management and possible complications that can be encountered.

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Comparison of long vs short proximal femoral nailing with Intertan in stable intertrochanteric fractures

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2021.v7.i3c.2744 ◽

2021 ◽

Vol 7 (3) ◽

pp. 181-185

Author(s):

Dr. BS Murthy ◽

Dr. Ashish Sao ◽

Dr. VA Senthil Kumar ◽

Dr. Ravi Kant ◽

Dr. Ozair Khan ◽

...

Keyword(s):

Intertrochanteric Fractures ◽

Femoral Nailing ◽

Proximal Femoral Nailing

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Comparative functional analysis of intertrochanteric fractures of femur treated with dynamic hip screw with that of proximal femoral nailing

International Journal of Orthopaedics Sciences ◽

10.22271/ortho.2017.v3.i4f.58 ◽

2017 ◽

Vol 3 (4f) ◽

pp. 418-421

Author(s):

Dr. Makesh Ram S ◽

Dr. Anand A ◽

Dr. Kathir Azhagan S

Keyword(s):

Functional Analysis ◽

Dynamic Hip Screw ◽

Intertrochanteric Fractures ◽

Femoral Nailing ◽

Hip Screw ◽

Proximal Femoral Nailing

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Critical analysis of factors determining mechanical failures in proximal femoral nailing

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20190504 ◽

2019 ◽

Vol 5 (2) ◽

pp. 275 ◽

Cited By ~ 1

Author(s):

Karthik Ramachandran ◽

K. K. Arvind Manoj ◽

A. Vishnu Sankar

Keyword(s):

Failure Rate ◽

Mechanical Failure ◽

Proximal Femoral Nail ◽

Harris Hip Score ◽

Intertrochanteric Fractures ◽

Excellent Outcome ◽

Lag Screw ◽

Femoral Nailing ◽

Femoral Nail ◽

Proximal Femoral Nailing

Background: Intertrochanteric fractures are one of the commonest fractures encountered in elderly population. Though there are various implants, proximal femoral nail has been the standard choice for management of unstable fractures. Inspite of its biomechanical advantages, various complications like screw cut out, Z effect, reverse Z effect does occur in proximal femoral nailing. The aim of the study is to analyse various factors determining the mechanical failures in patients operated with proximal femoral nail.Methods: This is a prospective study conducted in our institution from June 2014 to May 2018. The study included 72 patients with unstable intertrochanteric fractures treated with proximal femoral nail. All patients were followed for average period of 2 years. Functional outcome was assessed using Harris Hip score.Results: Among the patients 33% had excellent outcome. 42% had good and 14% had fair outcome. 11% of cases ended with poor outcome. Mechanical failure rate was less in patients with positive medial cortical support (PMCS) and in patients with tip apex distance difference between antirotation screw and lag screw (TADAR -TADLS) more than 15 mm. Whereas the difference in the position of lag screw centre had no significant influence in the mechanical failure rate in our study.Conclusions: From our study we like to conclude that the fracture reduction with positive medial cortical support and the TAD difference play a major role in determining the incidence of mechanical failure in proximal femoral nailing.

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