Highlights Good perioperative outcomes seen in patients with COVID-19 that underwent hip fracture repair after 48 hours of admission Short cephalomedullary nailing should be strongly considered over long nail for symptomatic COVID-19 patients. Regional anesthesia is preferred over general anesthesia in COVID-19 patients with hip fracture. COVID-19 affects the immune system by releasing inflammatory proteins that can cause multiorgan failure. Surgical repair should be reserved for patients with either mild or moderate COVID-19 infection.

The incidence of hip fractures in the United States is increasing as the population ages. Elderly patients are more likely to have extensive comorbidities, which contribute to long-term consequences after a hip fracture. These patients often experience permanent disability, restrictions in activities of daily life, higher rates of depression, cardiovascular disease, and mortality rate. The authors describe a combination of peripheral nerve blocks to provide surgical anesthesia for corrective hip surgery in 5 high-risk patients.