Whether or not a 90 year old person needs surgery for an elbow fracture needs to be considered in conjunction with the fracture, physical condition and other factors. Conservative treatment can be adopted if the fracture is mild, while surgery is needed for serious cases, but surgery is not recommended if the patient is older and in poor physical condition.
If the elbow joint is fractured but not displaced or if the fracture is in good alignment after manipulation and repositioning, conservative treatment can be used, such as plaster immobilization, rest and braking, and elevation of the affected limb. If the fracture is comminuted or displaced, accompanied by vascular and nerve damage, then surgical treatment can be considered for internal fixation with incision and reduction plate screws.
In addition, age and physical condition is also an important factor to determine whether the fracture needs surgery or not. For some older elderly people with poor physical condition, conservative treatment can be carried out to avoid the serious impact of surgery on the life of the elderly, and due to osteoporosis in the elderly, even if surgical treatment is carried out, the prognosis is not good.
However, for elderly people who are in excellent physical condition, if they are assessed to be in good physical condition, it is possible for them to undergo surgical treatment to improve their prognosis and quality of life.
Therefore, it is recommended that 90-year-olds with elbow fracture should go to a regular hospital in a timely manner to complete the relevant examinations and make a clear diagnosis, and then the doctors and anesthesiologists will jointly assess whether surgery can be performed to avoid delaying the condition.