1.The characteristics of the elderly
The elderly are a vulnerable group, with the decline of physiological functions, they become a group of people who can not afford to be hurt, and we do very little protection for them, so once a simple fall will lead to the occurrence of their fractures, which seriously belong to the occurrence of hip fractures.
2.The elderly are injured after
These grandparents often fall down and want to get up and stand up with difficulty, the more they find they can’t do it, and at the same time feel that they have been drilling pain at the root of their thighs, so they are sent to the hospital by their family members very nervously, and after careful examination by the doctor, it is recommended to take a film to see what the cause is.
3, how is good
The family decided to seek the help of an orthopedic surgeon to hear his opinion and wanted to decide how to treat it from a professional point of view.
4.Analysis of the orthopedic surgeon
Elderly fractures are mainly characterized by osteoporosis, and the bones of the elderly are like a piece of rotten wood that will break with a little force.
The patient’s current treatment is able to go two ways: one is surgical treatment; the other is conservative treatment. So what is surgical treatment? What about conservative treatment?
One, surgical treatment is to do surgery to get good results, so that patients can resume their daily activities as soon as possible, reduce the occurrence of disability, and reduce the complications of long-term bed rest.
Second, conservative treatment is to heal the fracture by traction on the lower extremity, hoping to restore the ability to walk, but it requires a long period of bed rest.
What are the advantages and disadvantages of these two treatments?
1.Surgical treatment: It can stabilize the fracture end faster, promote fracture stability more quickly, facilitate fracture healing, and reduce the risk of death as well as disability, but it is more expensive and has the risks associated with surgery, which may induce cerebral infarction, pulmonary infarction, lower extremity vascular embolism, heart disease, etc.
2.Conservative treatment: It requires a long period of bed rest (usually 2-3 months) and lower limb traction, which is a very painful thing and often difficult for patients to endure, while long-term bed rest is very likely to lead to pneumonia, bedsores, various infections, cerebral infarction, pulmonary infarction, lower limb vascular embolism, which is much riskier than surgical treatment.
So conservative treatment is not always good, is it necessarily good for surgical treatment?
The answer is of course no!
If surgery is desired three conditions must be met.
First, does this fracture need surgery?
After analysis of the patient’s fracture type, it is generally recommended to stabilize the fracture end by means of surgery at an early stage.
Second, can this fracture be operated?
The patient undergoes a series of physical evaluations and consults with an anesthesiologist to determine if he or she can withstand the surgery, or if he or she can withstand the surgery afterwards.
Do you agree to operate on the fracture?
After analyzing and communicating with the patient and the family, the advantages and disadvantages of surgery and conservative treatment are analyzed, and the patient or the family decides whether to operate or not.