Hip Fracture in the Elderly

Hip Fracture in the Elderly

Consequences of Hip Fracture in Seniors:

About 30% of people over 65 within a year after receiving an injury have the risk of death from its consequences. The main reason is complications during prolonged immobilization, such as:

  • Congestive pneumonia, which leads to the absence of a full respiratory process;
  • Soft tissue necrosis (pressure sores) on the sacrum, buttocks, and thighs, accompanied by the risk of inflammation and infection;
  • The formation of blood clots with the probability of their separation. The consequences can lead to blockage of the pulmonary artery.
  • Mental disorders (psychosis), loss of ability to experience and thought retardation (depression).
  • For effective recovery, elderly patients should be provided with the most comfortable conditions of detention, based on the positive attitude of the patient and his environment. A special role is given to current and proper post-traumatic rehabilitation.

Signs of Hip Fracture in the Elderly: The clinical symptoms of hip fracture in the elderly are typical and known. Some of these include:

  • Sudden pain in the groin area, which increases with the load on the heel of the injured leg;
  • Muscle contraction in the fracture zone, which is accompanied by a shortening of the leg;
  • The “sticking” effect of the heel, when the injury does not allow the person to lift and keep the leg straight but retains the ability to flex and extend the limb.

Diagnosis:

Proper diagnosis of injury by radiography is the key to success in treatment. X-ray of the hip joint, made in two projections, ensures proper diagnosis. If radiography does not allow detailed examination of the damaged bone, computed tomography of the hip joint, femoral neck, and its diaphysis is performed.

Surgical Treatment:

Surgical treatment for hip fracture in an elderly person requires an individual approach. The following things must be considered:

age of the patient;

health status;

the presence of severe chronic diseases;

type of fracture.

This approach allows the doctor to determine the methods of operation, including:

Fracture fixation with three screws. Provides pressure on the bone along the fracture line, which contributes to cell division, accelerating the process of bone splicing. The method is not applicable to patients older than 65 years who are immobilized and have severe comorbidities. Anchoring the fracture site with a Smith-Petersen nail. The design is made of thick metal and has three blades. The operation is performed from the side of the skewers of the thigh. Fastening damaged bone fragments with a massive DHS femoral screw. This is a metal structure consisting of seven screws. The screws are fixed in a single plate, while the whole structure repeats the curves of the femur.

Prevention of hip fracture in the elderly:

To avoid risk, you should:

Include fish, nuts, vegetables and fruits, milk and lactic fermentation products in the diet.

Lead a physically active lifestyle which can ensure healthy bones & joints in old age.

Use comfortable shoes that properly fit your foot.

Get rid of carpets in the house. In the bathroom, it is better to put a non-slipping mat.

The 2019 AARP Medicare Supplement Plans are affordable:

They cover out of pocket expenses such as co-pays, deductible & co-insurances.