Elderly femoral fracture Hip Fractures Elderly patient Intertrochanteric fracture PFNA Intraoperative blood loss Blood loss prevention Adrenaline Local injection RCT
Conditions
Interventions
Group 1 will receive 1% xylocaine with diluted adrenaline (1:200,000) infiltrated at the planned surgical incision sites to reduce intraoperative bleeding.
The volume of injected solution for each p
1% Xylocaine with adrenaline,NSS injection
Sponsors
None listed
Eligibility
Sex/Gender
All
Age
60 Years to 110 Years
Inclusion criteria
Inclusion criteria: 1. Patients aged 60 years or older. 2. Patients presenting with a closed intertrochanteric fracture of the femur resulting from low energy trauma. 3. Patients undergoing operative treatment with a proximal femoral nail antirotation PFNA device. 4. All surgeries performed by the highly experienced orthopedic surgeon. 5. Patients must receive either diluted adrenaline containing local anesthetic or nSS placebo for intraoperative blood-loss reduction.
Exclusion criteria
Exclusion criteria: 1. Patients with additional injuries to other body regions besides the intertrochanteric femoral fracture (multiple trauma). 2. Patients with significant preoperative medical complications. 3. Patients who cannot receive diluted adrenaline containing local anesthetic, such as those with a known drug allergy. 4. Patients with conditions affecting coagulation, including those with cancer, hemophilia, or a history of venous thromboembolism (VTE).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative blood loss Intraoperatively Direct suction of blood from the surgical field Measurement of blood collected on a plastic surgical drape Gauze swabs blood volume absorbed will be interpreted using a visual estimation | — |
Secondary
| Measure | Time frame |
|---|---|
| Adverse event of the injection Post operative, during admission Clinical signs and symptoms,Wound complication Follow up at out patient department Surgical wound evaluation,Other medical condition Post operative, during admission UTI, Sepsis, Pneumonia, VTE,Blood product usage During admission Pack red cell unit given | — |
Countries
Thailand
Contacts
Public ContactPatcharapol Arunwatthanangkul
Royal Thai Army Pramongkutklao hospital
Outcome results
None listed