Doctor insights on:
Hip Fractures In The Elderly Prognosis
Many things!: An osteoportic hip fracture can be lethal, especially for women. It causes death in almost as many women who die from breast cancer. Osteoporosis is preventable. Once a hip fracture occurs, plating and pinning will usually occur, or a hip replacement, depnding on fracture location. ...Read more
A fracture is a broken bone. As there is cartilage at the end of many bones at the joint, a fracture may also include a break in the cartilage. Fractures and broken bones are the same thing. It seems that many believe that a "fracture" is a lesser injury or an incomplete break in the bone, but this is not correct. Fractures may be displaced or ...Read more
Gait traning: You will probably get you out of bed and moving on the first day after surgery. Physical therapy will initially focus on range of motion and strengthening exercises. Depending on the type of surgery you had and whether you have assistance at home, you may need to go from the hospital to an extended care facility. ...Read more
It just is:
It used to be a death sentance to have a fractured hip, but we have come so far with rapid surgery, antibiotics abd anticoagulants, it is not so any more.
This hold if you are rather healthy. As u add comorbidities your assume mor risk,
if elderly means debilitated with many problems, there is a higher risk, but in my34 years of training and practice, I neber had a death from surgery. ...Read more
Weeks: If untreated, the pain from ahip fracture will last for several weeks until the bone heals nearly completely. Evan after healing, if the fracture healed in poor alignment, it can still cause pain with sitting, walking or standing. ...Read more
Geriatric hip fx: The fracture itself isn't what is life-threatening but the events following the fracture and immobility are. Being immobile and elderly leads to pneumonia, DVT, PE, MI, etc. This is why it is critical to treat a hip fracture surgically within 48 hours of the fracture to reduce morbidity and mortality as has been proven in multiple studies. ...Read more
Hip Fracture PT: Generally exercises that work on walking and hip strengthening are what's needed. ...Read more
We visit an elderly man bedridden after a hip fracture. He complains of pain in his legs. Is it thrombophlebitis i?
Throbophlebitis is not that painful
he needs a complete examination by an experienced orthopaedic surgeon. ...Read more
Reality vs Ideal: The reality is that when you look at all of our elders, almost 1 in 4 don't live past the 1st anniversary post-op, and less than 1 in 2 return to baseline level of function. This is because the fall & fracture represent the culmination of poor health. But as dr. Duncan points out, if this patient is an exemplar of healthy living, then her odds are in her favor. Don't forget DXA & 25oh vitd postop. ...Read more
What are the prognosis of hep c and b in drug addicts with enlarged kidney with a recent fracture of the hip joint.
Hepatitis: With the medicines today these are very treatable viruses. There seems to be a lot of other issues going on but those should improve in spite of hepatitis ...Read more
Rehab: Hip fractures are treated either by putting a pin through the fracture (called a gamma nail) or by doing a hemiarthroplasty which is one half of a total hip replacment. Following either, the rehab process involves working with a physical therapist to learn how to transfer safely from bed to chair or wheelchair, beginning to walk, usually with a walker or crutches and then strengthening. ...Read more
Potentially: There is a theoretical concern about any associated pneumothorax and rib fractures and any potential changes in cabin pressure, also pain would have to be under good control. So if she was comfortable, had happened over a couple of weeks ago, and had an X-ray showing no pneumothorax, it would be reasonably safe. Particularly with planes now in which cabin pressure is so well maintained. ...Read more
Possibly: Nothing protects against fractures better than avoiding the falls in the first place but hip pads can be helpful for someone who chronically falls. Using a walker, removing throw rugs, lighting poorly lit areas, balance training, and muscle strengthening with weight bearing exercise and proper nutrition are all parts of the prevention program. ...Read more
Immediate care ctr.: You could proceed to an immediate care center, or a local emergency room. Or, if you have a family physician, or internist, you can call to see if they do xrays at their facility. ...Read more
Yes: That the best option.Get a more detailed answer ›
Depends....: This really depends on the person and the surgery. What kind of surgery did the person have? What were the restrictions given by the surgeon after surgery? What was his function before surgery? What is is weight? Dis hue/she have associated injuries? What kind of support does he have (family)? what is his/hers occupation? Did the injury happen at work? What physical therapy is he/she getting? Etc. ...Read more
What is the best treatment for a man who is 45 years old, has degenerative spine disorder and multiple fractured hips?
One guided by a good: Orthopaedic surgeon.Get a more detailed answer ›
Fell down a flight of wooden stairs and although I can walk pain free, my right hip is sensitive to touch and I cant lay on it. Could hip be fractured?
Fractured hip: It is possible for you to have a fractured hip. See your doctor or go to the ER for xrays ...Read more
I need to lose over 100 pounds. I can't exercise much right now. I have two fractured feet, bad back and hip. Can only stand about 2-3 minutes. Idea?
Otherwise known as orthotics, sounds like you need more support. Also talk to you primary about vitamin deficiencies. Brittle bones could be a systemic serious issue.
Orthotics can provide better distribution of your weight. They are devices that fit in your shoes. They are thin and don't take up much space ...Read more
Severe pain: A fracture of the hip is a very painful event- typically caused by a traumatic injury. You will not be able to move the hip without significant pain. Recommend getting an xray in the er or with an orthopaedic surgeon to evaluate. ...Read more
Falls in older folk:
The greatest predictor for hip fracture is age. Older people are at much higher risk of fall, are more likely to injure themselves on falling and are more likely to have reduced Bone Mineral Density further increasing the likelihood of fracture.
Specifically, physical frailty, reduced mobility, cognitive impairment, poor eyesight, medical morbidity, poly-pharmacy, predispose to falls in elderly. ...Read more