Cannulated Hip Screws (Neck of Femur Fracture, NOF)

Internal Fixation of a neck of femur fracture with screws

Speciality Orthopaedics, Trauma
Urgency urgent
Duration 15 to 30 min
Blood Loss minimal
Anaesthesia Spinal
Anaesthesia II General +/- Local Anaesthetic, +/- Nerve Block
Nerve Blocks Fascia Iliaca, Femoral
Pain mild (+)
Post-op Pain Local up to 4-8 hours, Nerve Block up to 10-30 hours
Post-op Pain II Tablets, Injection (im, iv)
Hospital Stay 1 to 2 weeks
Full Recovery 3 to 6 months
Additional Info Hip fractures are common / most of the patients are elderly / they can be dehydrated and malnourished / high risk of morbidity and mortality / in high risk patients the operation can be done under Local Anaesthesia alone

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