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Doctor insights on: Hip Fractures In The Elderly Prognosis

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What happens when an elderly women fractures her hip?

What happens when an elderly women fractures her hip?

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

Dr. Howard Schneider
792 Doctors shared insights

Fracture (Definition)

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


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What is recommended rehab for elderly hip fracture?

What is recommended rehab for elderly hip fracture?

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

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Why is it harmful when elderly people fracture their hip?

Why is it harmful when elderly people fracture their hip?

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

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How can an elderly person recover from a hip fracture?

How can an elderly person recover from a hip fracture?

Physical Therapy: Most elderly patients experience a mild regression in their ambulatory status after a hip fracture. Regular physical therapy is an important factor in maximizing their recovery. ...Read more

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How long will the pain last for an untreated broken hip (fracture) for an elderly person?

How long will the pain last for an untreated broken hip (fracture) for an elderly person?

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

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Why is a hip fracture life-threatening for the elderly?

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

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What type of rehab is best for a hip fracture in an elderly female?

What type of rehab is best for a hip fracture in an elderly female?

Hip Fracture PT: Generally exercises that work on walking and hip strengthening are what's needed. ...Read more

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Can somebody help me about hip fracture prognosis for 85yo woman?

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

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What is the prognosis for someone who had radiation for hip cancer and now has a hip fracture?

What is the prognosis for someone who had radiation for hip cancer and now has a hip fracture?

Fair: Radiation and tumors will weaken the hip and can predispose people to fractures. If the cancer has been eradicated, the fracture should heal with proper treatment and surgery. If the cancer is still present, the hip can be stabilized but cancer treatment must continue. ...Read more

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What are the prognosis of hep c and b in drug addicts with enlarged kidney with a recent fracture of the hip joint.

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

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How are hip fractures diagnosed in ER if you are in pain?

How are hip fractures diagnosed in ER if you are in pain?

Xray: A simple x-ray will detect 90% or more of these injuries. If hip pain is there and x-ray is negative, the next step is ct scan or mri. ...Read more

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What is the rehabilitation process for hip fractures like?

What is the rehabilitation process for hip fractures like?

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

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Can an elderly person with fractured ribs fly in an airplane?

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

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How common are hip fractures in women who didn't take estrogen?

How common are hip fractures in women who didn't take estrogen?

It is significant: Current use of estrogen appears to decrease the risk for fracture in older women. These results suggest that for protection against fractures, estrogen should be initiated soon after menopause and continued indefinitely. ...Read more

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Can hip pads help someone who falls a lot prevent hip fractures?

Can hip pads help someone who falls a lot prevent hip fractures?

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

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What to do if I might have fractures my hip, where can I get an x-ray?

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

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My cousin fractured his hip, in rehab, how long will be be unable to walk?

Depends: It really depends on the type of fracture, whether surgery is involved, and what type of surgery is performed.
Many hip fractures are treated surgically, allowing for early weightbearing and pain relief. ...Read more

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Can you tell me how long for a person to recuperate after fractured hip surgery?

Can you tell me how long for a person to recuperate after fractured hip surgery?

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

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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?

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?

Orthopedic inserts: 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

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What are some of the treatments for hip fractures?

Surgery: Most fractured hips require surgery because they heal poorly, or not at all without some form of hardware to hold the broken bones in place. Some, especially in older patients, require replacement. ...Read more

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What is worse a fractured hip or a sprain hip flexor?

What is worse a fractured hip or a sprain hip flexor?

Surgery vs Rehab: A fracture of the hip will most likely require surgery while a strain of a muscle will require stretching and strength training. ...Read more

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What are the signs of a hip fracture?

What are the signs of a hip fracture?

Pain deformtiy: Pain, short leg, inability to walk, leg rotated to the outside ...Read more

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How to tell if my hip is fractured/broken?

How to tell if my hip is fractured/broken?

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

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Can you walk if your hip is fractured?

Usually not: Rarely, the hip fracture will compress upon itself and be stable enough to allow weight bearing, but most of the time, it is too painful to walk on. ...Read more

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Could you walk on a fractured hip?

No: A fractured hip is very painful and any weight bearing is excruciating. ...Read more

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What are the biggest causes of hip fractures?

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

Prognosis (Definition)

The prognosis is the predicted outcome or "forecast" for a disease or process. It is only an estimate but is likely based on past experience or data taking into account the individual's overall health status. It may suggest progression of disease ...Read more