The effect of the preferred anesthesia method on early postoperative outcomes in elderly patients with hip fractures; a retrospective three-way comparative study
Küçük Resim Yok
Tarih
2026
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bmc
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Background Pertrochanteric femoral fractures in the elderly are associated with high morbidity and delayed recovery. The type of anesthesia used during surgical fixation may significantly impact postoperative outcomes. The erector spinae plane (ESP) block has recently emerged as a promising alternative to traditional techniques. Methods This retrospective study evaluated 64 patients who underwent proximal femoral nailing (PFN) and received either general anesthesia (GA), spinal anesthesia (SA), or ESP block. Pain (VAS), function (Harris and Oxford Hip Scores), quality of life (EQ-5D), complication rates, mobilization time, and hospital stay were compared. Results All groups showed improvement, but the ESP block group had significantly lower pain scores (p < 0.001), better functional outcomes, earlier mobilization, and shorter hospital stays. Complications such as urinary retention and delirium were more frequent in the GA group. Conclusion ESP block provided superior pain control, enhanced functional recovery, and fewer complications in patients undergoing PFN. It represents a safe and effective alternative in the anesthetic management of elderly patients with fragility fractures.
Açıklama
Anahtar Kelimeler
[Keyword Not Available]
Kaynak
Bmc Geriatrics
WoS Q Değeri
Q1
Scopus Q Değeri
Q2
Cilt
26
Sayı
1
