Abstract

Background: Hip fracture represents a surgical illness and over 95% of patients requiring surgery. Several hip fractures are complex since the patient group is older and has a variety of underlying medical issues. Objective: This paper aims to analyse hip fracture surgery in Iraqi patients and evaluation of results in the case of dependence on different techniques of anesthesia. Patients and methods: This paper was considered as a cross-sectional study that is interest to to analyse hip fracture surgery in Iraqi patients and evaluation of results with dependence on different techniques of anaesthesia for hip fracture patients in different hospitals in Iraq from 26^th August 2021 to 17^th July 2022. This paper was focused on the impact of anaesthesia on hip fracture surgery. This data was depended on general anaesthesia and regional anaesthesia, which specialized with 138 cases where datasets were collected with two groups, which the first group presented as general anaesthesia with 70 patients, which the second group presented as a regional group with 68 patients. The datasets were recognized and analysed by the SPSS program. Discussion: The technique of anesthesia is one such component. The latest systematic reviews suggest that clinical results do not differ considerably across types of anesthesia. Therefore the current investigation backs up these earlier findings. We further classified general anesthesia as volatile anesthetic-based balancing anesthesia and regional anesthesia; however, we did see certain distinctions between anesthesia approaches. Our study noticed also the rate of blood loss and complications are higher in general anesthesia as more as than regional anesthesia group, special in Blood clots in the veins and Muscle atrophy which cuases due to rise of bones density in general ansethesia, whic drop with regional anesthesia group. HMGB1 has a significant role in injury-induced inflammatory disorders, including trauma, as a mediator underlying sterile infection and inflammatory responses. However, data in senior hip fracture patients was insufficient. The importance of HMGB1 for clinical practice has become recognized in several illness states, including various types of traumata. Conclusion: This study found no difference in 30-day mortality, postoperative pneumonia, or delirium comparing the general versus regional anaesthetic groups. The regional anaesthetic group was related with lower in-hospital mortality, whereas general anaesthesia was correlated with higher in-hospital mortality, although the findings were restricted by huge disparities in sample size. In the future, greater prospective randomized controlled studies will be required.

Keywords

Hip fracture; General anaesthesia; regional anaesthesia; and Femoral neck fracture