Patient: 2:00 a.m. on the 15th woke up to facilitate a fracture Laboratory and examination results: Last seen at.
Liu Zhao, Department of Orthopedics, Beijing Xuanwu Hospital.
Hello, this is Dr. Liu Zhao from Beijing Xuanwu Hospital, first of all, thank you for your consultation. Liu Zhao, Department of Orthopedics, Xuanwu Hospital, Capital Medical University
According to your description, the patient was diagnosed with intertrochanteric fracture or femoral neck fracture, collectively referred to as hip fracture. These fractures are mostly seen in middle-aged and elderly people and belong to one of the osteoporotic fractures. The cause of these fractures in middle-aged and elderly people is mostly low-energy injuries such as falls in life, which are very common in your loved one, as well as falls in the shower, slippery roads in winter, and so on.
In recent years, with the aging of the population, the incidence of hip fractures has been increasing year by year. In the early stage, most of these fractures are treated conservatively, i.e., traction or bed rest in anti-rotation shoes for 3 months. However, the most fearful thing for the elderly is to be bedridden, and being bedridden and unable to move the affected limb may lead to a series of complications, such as crushing pneumonia, decubitus ulcers, deep vein thrombosis of the lower limbs, etc., and may also travel fatal pulmonary embolism. Prolonged bed rest not only leads to inconvenience in care, but also may aggravate pain when the patient turns over during urination and defecation. According to some statistics, the disability and mortality rates of hip fractures treated conservatively are as high as 30-60%.
In recent years, with the high level of medical technology and the improvement of internal fixation devices, the treatment of such fractures is more and more inclined to surgical treatment. The only purpose is to allow the patient to stand early and reduce complications arising from prolonged bed rest.
Xuanwu Hospital is the Beijing Geriatric Research Center and has rich clinical experience in the treatment of these fractures. The biggest concern of patients and their families is that our patient is so old, can we operate? In this regard, we will conduct a detailed examination of the patient before surgery, exclude contraindications to surgery, and ask the relevant departments to conduct a consultation to jointly make the patient’s preoperative indicators meet the requirements for surgery. The surgical operation is more about minimally invasive treatment with short time, less bleeding and less interference to the patient.
Therefore, according to what I said above, if the elderly are physically fit, it is better to operate.