Local Anesthesia Approach for Percutaneous Screw Fixation of an Impacted Subcapital Femoral Neck Fracture: A Technique for High-Risk Patients Article Swipe
Eric B. Smith
,
Gregory K. Deirmengian
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.38532
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.7759/cureus.38532
Elderly, frail patients and those who have substantial medical co-morbidities who sustain hip fractures present a challenging problem for treatment as they are at very high risk for complications from surgical intervention. The functional outcomes, pain levels, and mortality rates all worsen when non-surgical treatment is used. The safety of administering general or spinal anesthesia may be a concern in certain cases. Other modalities, such as epidural or caudal anesthesia, may be an option; however, the use of local anesthesia may be advantageous for patients with non-displaced and impacted femoral neck fractures undergoing surgical intervention. We present a case report describing the successful treatment of an elderly male who had relative contraindications to spinal anesthesia and high risk for general anesthesia and was successfully treated with percutaneous screw fixation of a femoral neck fracture using local anesthesia with a light, monitored anesthetic.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.7759/cureus.38532
- https://assets.cureus.com/uploads/case_report/pdf/147010/20230603-12782-1x2hk1r.pdf
- OA Status
- diamond
- Cited By
- 1
- References
- 14
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4379377113
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4379377113Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.7759/cureus.38532Digital Object Identifier
- Title
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Local Anesthesia Approach for Percutaneous Screw Fixation of an Impacted Subcapital Femoral Neck Fracture: A Technique for High-Risk PatientsWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2023Year of publication
- Publication date
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2023-05-04Full publication date if available
- Authors
-
Eric B. Smith, Gregory K. DeirmengianList of authors in order
- Landing page
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https://doi.org/10.7759/cureus.38532Publisher landing page
- PDF URL
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https://assets.cureus.com/uploads/case_report/pdf/147010/20230603-12782-1x2hk1r.pdfDirect link to full text PDF
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://assets.cureus.com/uploads/case_report/pdf/147010/20230603-12782-1x2hk1r.pdfDirect OA link when available
- Concepts
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Medicine, Surgery, Femoral neck, Percutaneous, Anesthesia, Anesthetic, Fixation (population genetics), Local anesthesia, Internal fixation, Osteoporosis, Environmental health, Population, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
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14Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.general | 51, 119 |
| abstract_inverted_index.levels, | 36 |
| abstract_inverted_index.medical | 8 |
| abstract_inverted_index.option; | 73 |
| abstract_inverted_index.present | 14, 96 |
| abstract_inverted_index.problem | 17 |
| abstract_inverted_index.sustain | 11 |
| abstract_inverted_index.treated | 124 |
| abstract_inverted_index.Elderly, | 0 |
| abstract_inverted_index.epidural | 66 |
| abstract_inverted_index.fixation | 128 |
| abstract_inverted_index.fracture | 133 |
| abstract_inverted_index.however, | 74 |
| abstract_inverted_index.impacted | 88 |
| abstract_inverted_index.patients | 2, 84 |
| abstract_inverted_index.relative | 110 |
| abstract_inverted_index.surgical | 30, 93 |
| abstract_inverted_index.fractures | 13, 91 |
| abstract_inverted_index.monitored | 140 |
| abstract_inverted_index.mortality | 38 |
| abstract_inverted_index.outcomes, | 34 |
| abstract_inverted_index.treatment | 19, 44, 103 |
| abstract_inverted_index.anesthesia | 54, 79, 114, 120, 136 |
| abstract_inverted_index.describing | 100 |
| abstract_inverted_index.functional | 33 |
| abstract_inverted_index.successful | 102 |
| abstract_inverted_index.undergoing | 92 |
| abstract_inverted_index.anesthesia, | 69 |
| abstract_inverted_index.anesthetic. | 141 |
| abstract_inverted_index.challenging | 16 |
| abstract_inverted_index.modalities, | 63 |
| abstract_inverted_index.substantial | 7 |
| abstract_inverted_index.advantageous | 82 |
| abstract_inverted_index.non-surgical | 43 |
| abstract_inverted_index.percutaneous | 126 |
| abstract_inverted_index.successfully | 123 |
| abstract_inverted_index.administering | 50 |
| abstract_inverted_index.complications | 28 |
| abstract_inverted_index.intervention. | 31, 94 |
| abstract_inverted_index.non-displaced | 86 |
| abstract_inverted_index.co-morbidities | 9 |
| abstract_inverted_index.contraindications | 111 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| corresponding_author_ids | https://openalex.org/A5061674026 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 2 |
| corresponding_institution_ids | https://openalex.org/I4210090807 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8799999952316284 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.60684523 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |