February 06, 2011 was an unusual day for orthopedic patient Cui Yuping, who was finally discharged from the hospital after a tough struggle with the disease, shedding tears of excitement before leaving.
The story began before the Spring Festival, when she suffered a fracture of the neck of her right femur due to a fall on the 13th of January 2011. Femoral neck fracture is one of the common osteoporotic fractures of the hip in the elderly. Conservative treatment of patients who are bedridden for a long time will produce a series of complications, such as crushing pneumonia and deep vein thrombosis of the lower extremities, which often lead to a high mortality and disability rate of patients, and early surgery has now become the main treatment means. These diseases are characterized by advanced age, numerous combined medical diseases, and high surgical risks. Cui Yuping was no exception, with a combination of coronary heart disease and old cerebral infarction. A cardiac ultrasound showed a poor 35% ejection fraction, with a ventricular wall tumor and six previous stents in the heart. Considering that the mortality rate of conservatively treated patients is as high as 60% or more, Director Cao Guanglei, the supervising orthopedic surgeon, believed that surgical treatment based on strict perioperative management was the only bright path for the patient’s survival. Under the leadership of the Department of Orthopedics, Director Wang Tianlong of the Department of Anesthesiology, Director Wang Chunmei of the Monitoring Unit and Dr. Xia of the Department of Cardiology conducted a comprehensive and integrated assessment of the patient, and finally performed right hip arthroplasty for Cui Yuping successfully on January 27, 2011 with the collaboration of multiple departments. Liu Zhao, Department of Orthopedics, Xuanwu Hospital, Capital Medical University
As a geriatric hospital in Beijing, Xuanwu Hospital has collaborated with multiple departments in the comprehensive treatment of elderly patients, and has accumulated certain clinical experience especially for high-risk patients. It is believed that this kind of collaboration will bring good news to more patients.
Liu Zhao, Department of Orthopedics