Doctor insights on:
Life Expectancy After Hip Fracture
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.
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
See your doctor: This is one of those problems where a visit to your doctor is necessary to figure out what's going on. Only after a thorough evaluation, including examination and possibly labs and other tests, can your doctor correctly diagnose you and treat you effectively.
Safe: Fosamax (alendronate) and other diphosphonates are helpful in maintaining bone density in older patients w/ bone osteopenia; usually documented w/ bone densitometry. Atypical proximal femur and hip fractures have been seen in patients on diphosphonates for long periods of time, but these are relatively rare. See your pcp or an endocrinologist for evaluation if you have questions about treatment alternatives. Gl!
Increased Risk: Hip fracture, particularly in frail, elderly patients, can start a downward spiral: being unable to ge up & walk makes them more likely to develop clots in their legs, pneumonia, bedsores, and other problems which can lead to more complications, ultimatly leading to death.See 1 more doctor answer
Location: There are different locations in the hip. The location of the fracture depends where in the hip this occurs. The intertrochaneric fracture occurs between the greater and lesser trochanters. There are also femerol neck fractures and subtrochanteric fractures and femoral shaft fractures. Location location location.
Exercise: It is important to exercise to improve balance, strengthen muscles, and help maintain/build bone density. Balance and flexibility can be improved with exercises such as tai chi and yoga. Making home safety improvements is important as well. Review medications with your physician to evaluate for any possible side effects, i.e. Drowsiness which can increase the risk of falls.
1st hv 0 pain then..: Assuming you were able to jog before the hip fracture, to start jogging 1st your orthopedic surgeon needs to allow you full wright bearing (timing depends on fracture type and bone quality and can be typically between 0-12w). Next you would want to work with a physical therapist to have nearly equal and normal muscle strength in both legs, and good stability (being able to hop on operated leg)See 1 more doctor answer
No: Most of the time it is advised but it depends on the individual clinical setting.See 1 more doctor answer
Depends: How is the fracture being treated? Nonweight bearing, replacement, screws, or a rod? Can heal in 6 weeks to several months.
See below: The first doctor is usually an orthopedist. After that physical therapists, occupational therapists, brace makers may also be involved. If the fracture requires extensive rehabilitation, sometimes a physiatrist (a doctor of rehabilitation medicine) may also be involved.See 1 more doctor answer
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.See 1 more doctor answer
Yes: Ther special diapper to use with no risk to the patient.
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.
Is it broken or fractured is a question I am often asked. The answer is basically that a broken or fractured bone is the same thing. A fracture means a break in the cortex or the strong layer of outer bone cells. In an adult the average time for that to heal varies greatly but is often considered to ...Read more
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