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Useufulness of Ultrasound-guided Femoral Nerve Block and Lateral Femoral Cutaneous Nerve Block for Patients with a Proximal Femoral Fracture Naoya HIROSAWA 1 , Toshiaki KOTANI 1 , Tetsuharu NEMOTO 1 , Tsutomu AKAZAWA 1 , Takana KOSHI 1 , Koshiro KAMIYA 1 , Atsuko TANAKA 2 , Toshiro SHITARA 2 , Shohei MINAMI 1 1Department of Orthopaedic Surgery, Seirei Sakura Citizen Hospital 2Department of Anesthesiology, Seirei Sakura Citizen Hospital Keyword: 大腿骨近位部骨折 , proximal femoral fracture , 超音波 , ultrasound , 神経ブロック , nerve block pp.53-57
Published Date 2013/1/25
DOI https://doi.org/10.11477/mf.1408102576
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 The purpose of this study was to assess the usefulness of ultrasound-guided femoral nerve block and lateral femoral cutaneous nerve block during surgery for patients with a proximal femoral fracture.

 We evaluated its usefulness in 11 patients who underwent Hansson pin or sliding hip screw surgery. In three cases surgery was completed without any additional form of anesthesia, but in the other eight cases general anesthesia and administration of sedatives or analgesics was necessary.

 The results showed that femoral nerve block is not always sufficient to control pain during surgery to treat proximal hip fractures. The results suggested that this block may be a useful adjunct to lumbar anesthesia, because it controlled pain during patient transfer to the operating table and positioning during hip flexion and abduction.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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