Girdlestone Osteotomy (Neck of Femur Fracture, NOF)

Removal of the femoral head without prosthesis with limited mobility after the operation

Speciality Orthopaedics, Trauma
Urgency urgent
Duration 30 min to 1 h
Blood Loss 250 to 500 ml
Anaesthesia Spinal, +/- Nerve Block, +/- Sedation
Anaesthesia II Epidural
Nerve Blocks Fascia Iliaca, Femoral, Lumbar Plexus, Sciatic
Pain mild-moderate (++)
Post-op Pain Epidural Infusion 1-3 days, 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 12 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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