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To the Editor:—
Since I never heard of anyone successfully operating on a 103-year-old patient who has suffered a fracture of the femur, this is to report on the treatment of hip fractures in one such patient and two others who were over 90. All were treated in a small hospital in a rural community without the help of specialists. Spinal anesthesia was used in each case because it provides better relaxation, thus facilitating quicker reduction of the fracture. The patient is given 8 mg. of morphine and 0.2 mg. of scopolamine subcutaneously about an hour before operation. For the spinal anesthesia I use 150 mg. of procaine and 23 mg. of ephedrine in 2 cc. of spinal fluid; 23 mg. of ephedrine is also given intramuscularly. As soon as the patient is anesthetized he is placed on the affected side for about six minutes, and then he is placed
Edwards WC. FRACTURE OF HIPS OF ELDERLY PATIENTS. JAMA. 1955;157(18):1635. doi:10.1001/jama.1955.02950350049022