What to do if the femoral head is comminuted in the elderly

Hello, after a fracture, rely on rest and supplements to promote the growth of broken bones, these methods are very negative, it takes a long time for the callus to have hope of healing, three months to six months to heal, and six months to more than a year to have a hope of growing bones slowly, it can be seen that resting or taking supplements is not much help for bone growth. After the fracture of the elderly with poor physical fitness, it is difficult to rely on diet to be the best.

If you want to break a fracture quickly, it is recommended that you choose traditional Chinese medicine**, which can quickly grow callus with simple topical application, and the swelling and pain can be significantly reduced in 5-7 days in the early stage of fracture in the elderly, and you can move slowly in about 20 days, and you can basically heal in about 40 days. Comminuted fractures can be basically healed in about 50 days of medication. No matter what kind of tissue damage, the truth is the same, only let the damaged tissue grow quickly can heal, the focus is not to rest and take supplements, but to let it grow quickly.

Only by allowing the broken bones to grow and heal in a short period of time is the key point of the **.

Do not eat licorice-containing drugs before fracture and bone grafting, do not eat more or even do not eat high-calcium milk, calcium tablets, pork bones and other high-calcium foods, and do not eat more high-protein foods such as: shrimp, eggs, fish, meat, etc. (especially children should pay more attention to this aspect of diet), Western medicine should be used with caution, especially hormone-containing drugs should not be used, and more fresh vegetables and tomatoes containing ascorbic acid should be eaten. There may be people with fractures who still don't understand why the above is said, and there are a lot of words, so you have to be patient:

People are recreated into broken bones, before the bones, if you eat a lot of high-calcium and high-protein substances, although it is of great help to the healing of open wounds, but it is also easy to close the two broken bone surfaces alone, if once the broken bone surface is closed, it is very difficult to connect the bones in the future, you know, the bone callus must be completed by the callus, only people can move, there is no pain, the callus is generated by the bone marrow, the bone marrow is maintained by blood flow, if the broken bone surface is closed too early, the bone marrow at both ends of the broken bone can not be connected, There is little hope for bone grafting in the future. In addition, because you have eaten high-calcium and high-protein substances, even if the broken bone surface has not been completely closed, but the broken bone surface is slowly and smoothly narrowed and closed, and when the bone is formed in the future, on the smooth edge of the broken bone, the new calcium formed by the callus is not easy to be firm, and the accidental consumption of hormone drugs can easily lead to bone necrosis, please pay more attention.

Hurry up orthopedic department wishes you a speedy **.

It depends on the location!

If it is the leg bone below the femoral head, then it can be treated in the same way as other fractures, but if it is the femoral head itself, the solution is one word! Change!

The femoral tibial fracture is caused by trauma, femoral tibial fracture is very common in elderly fracture patients, femoral tibial fracture has a characteristic that the fracture site is closer to the part of the femoral head, the worse the healing rate, and may cause necrosis of the femoral head, if the traditional method of traction or nail fixation is used for elderly patients, the possibility of healing is very small, and the patient can recover quickly through artificial total hip replacement surgery, and can go to the ground 2-3 days after surgery.

The best methods for the elderly to have fractures are:

1. Conservative**: The elderly can be conservative if the fracture is relatively stable, and the external fixation of plaster cast or small splint can be initially healed in about 6 weeks, and the bony healing can be basically achieved in about 3 months.

2. Surgery**: The broken end of the fracture is displaced or the surrounding tissue structure is seriously damaged, and the operation is generally considered, and the surgical incision reduction is followed by internal fixation, and the initial healing can be achieved in about 4-6 weeks after the operation, and the bony healing can be achieved in about 3 months, and then the internal fixation can be taken out after 2 years.

The above are just the general principles of fractures. For the specific fracture site and the state of the elderly, it is necessary to comprehensively analyze and give the best plan. If the elderly are in poor physical condition, have cardiopulmonary problems or poor organ function, they generally do not need to undergo surgery, because life may be in danger during surgery.

At this time, conservative ** is generally adopted, that is, a plaster cast or small splint is performed.

It is recommended that during the period, it is best to stay in bed and do not move to avoid affecting the recovery of the condition. The best methods for the elderly to have fractures are:

1. Conservative**: The elderly can be conservative if the fracture is relatively stable, and the external fixation of plaster cast or small splint can be initially healed in about 6 weeks, and the bony healing can be basically achieved in about 3 months.

2. Surgery**: The broken end of the fracture is displaced or the surrounding tissue structure is seriously damaged, and the operation is generally considered, and the surgical incision reduction is followed by internal fixation, and the initial healing can be achieved in about 4-6 weeks after the operation, and the bony healing can be achieved in about 3 months, and then the internal fixation can be taken out after 2 years.

The above are just the general principles of fractures. For the specific fracture site and the state of the elderly, it is necessary to comprehensively analyze and give the best plan. If the elderly are in poor physical condition, have cardiopulmonary problems or poor organ function, they generally do not need to undergo surgery, because life may be in danger during surgery.

At this time, conservative ** is generally adopted, that is, a plaster cast or small splint is performed.

It is recommended that during the period, it is best to stay in bed and do not move to avoid affecting the recovery of the condition.

Fracture of the femoral head in the elderly, surgery is recommended**. For the elderly, if the physique allows, hip replacement surgery is recommended, because this surgery is currently a relatively mature technology, which can allow the patient to walk on the ground earlier, avoid the occurrence of serious complications such as bedsores and pneumonia, and can significantly improve the quality of life of the patient. Femoral neck fractures are the most common fractures, especially in middle-aged and older adults.

Often due to accidental falls, resulting in local pain and limited activities, the patient comes to the outpatient clinic for X-ray or CT examination, which can clearly determine whether the patient's femoral neck and femoral head have been fractured. The methods of femoral head fracture in the elderly include conservative, internal fixation, surgery, etc., conservative. If the patient is older, weaker in physique, unable to tolerate various surgeries**, and the condition is relatively mild, the patient can choose to be conservative**, generally requiring the patient to stay in bed for 3 months, with the use of elder-like drugs, such as elder-related Qili San, Yunnan Baiyao capsules, callus lingxin, Gukang capsules, etc., to promote fracture healing, play a role in blood circulation and swelling, analgesia, and internal fixation**.

If the patient's constitution is relatively good, the condition is not serious, and the fracture site is not significantly displaced, internal fixation and reduction can be adopted**, such as fixation with steel plates, steel nails, etc., and surgery**. For patients with severe disease accompanied by osteoporosis and fracture sites that are difficult to heal, surgery**, such as hip replacement, femoral head replacement, etc., can be used to promote the patient**.

The best method for necrosis of the femoral head depends on the patient's own necrosis of the femoral head and his wishes, as follows

1. If the necrosis of the femoral head has reached stage 4, although the patient's personal wish is to preserve the femoral head, it is of little significance, and joint replacement is recommended, which has a better effect;

2. If the femoral head is necrotic.

In the first, second and third stages, free transplantation of the iliac flap and fibular flap with anastomosis is the best way in clinical practice, and the risk of re-collapse and necrosis of the femoral head is extremely low. After the free transplantation of the bone flap, the fullness of the femoral head of the patient gradually recovered, and most patients could meet the daily walking pain-free, and the joint shape gradually recovered.

It's just a bone crack, it is recommended that you choose traditional Chinese medicine**, just a simple Chinese medicine external application to quickly connect bones, adult bone cracks medication**, about 25 to 30 days can be basically healed.

If the bone is cracked, choose Western medicine**, generally gypsum, and then rest and recover by itself, no matter what method is chosen, only rely on oneself to recover slowly after fixation, which takes a long time, three months to heal quickly, 6 months to slow down, how long it will take to return to normal, it depends on the speed of the individual's own recovery.

No matter what kind of tissue damage, the principle is the same, only let the damaged tissue grow quickly can be healed, the focus is not fixed rest, but let it grow quickly. Only by allowing the damaged tissue to grow and heal in a short period of time is the key point.

May it be soon**.

There are many reasons for the elderly to suffer from femoral head necrosis, such as long-term use of hormone drugs, or some previous external injuries, bone injuries or long-term alcoholism. In short, it is the result of the accumulation of long-term living habits. Generally, when the disease is discovered, it is generally in the middle or advanced stage.

**Femoral head necrosis is roughly divided into two methods, one is the surgical method advocated by Western medicine, and the other is the conservative method of traditional Chinese medicine. Although surgery is the best plan for osteofemoral head necrosis, most of them are not suitable for surgery from the perspective of the physique of the elderly, and the trauma and risk of replacement surgery will seriously affect the future life of the elderly.

In addition, most of the elderly also suffer from other diseases such as high blood pressure, heart disease, diabetes, etc., which are not suitable for surgery. Still, it should be based on drugs. The use of internal Chinese medicine, external medicine, acupuncture, massage, sitz bath methods, improve blood circulation, repair bone tissue, reduce symptoms and restore and maintain joint function.

There is also a special need to cooperate with the dietary therapy of searching pants. As the saying goes, "medicine is not as good as food supplements" is not comprehensive, but there is a certain truth. A reasonable diet can be very helpful in the condition.

Patients with elderly femoral head necrosis also have some psychological pressure due to long-term illness, and if the family can take care of them and pay more attention to life and psychology, it will also bring great help to the disease.

Hello patients, the clinical information you provide is incomplete and cannot be provided in detail, please upload X-ray and other examination results to confirm the diagnosis and provide specific diagnosis and treatment suggestions.

Dr. Guo Xiaozhong of Jishuitan Hospital solemnly reminded that because the patient cannot be seen face-to-face, there is no omen method to fully understand the condition, the above suggestions are for reference only, and the specific diagnosis and treatment must be carried out in the hospital under the guidance of the doctor! ）

Hello! Judging from the X-ray you provided, it should be a femoral neck fracture, and it is still unstable, so it is better to choose surgery**, if there are no other very serious diseases in your 80s, you can generally tolerate this operation, this situation is generally femoral head replacement, if it is smooth, the whole operation only takes 1 2 hours.

And if you consider conservative, except that she is an unstable fracture, not to mention that it is easy to shift in the process, the most important thing is to stay in bed for a long time, once the elderly are bedridden for a long time, they are prone to various complications, such as pneumonia and bedsores, in which case the complications are more threatening to her life.

Of course, the choice of which way still has to consider a variety of factors, in addition to medical, other such as the economy, the wishes of the family, and the wishes of the elderly.

Hello, the diagnosis is a fracture of the left femoral neck.

The current femoral neck fracture is a minimally invasive surgery, in which only two to three small incisions (about 3cm) are made on the outside of the thigh root, and three hollow nails can be inserted. If there is no absolute contraindication to surgery, it is recommended that you seek medical treatment at the best local orthopedic hospital, and then give surgery after internal medicine adjustment before surgery**.

Of course, there is a problem that the appellate surgery method will face, that is, the risk of [necrosis of the femoral head]. Now there is a surgical method to avoid the possibility of necrosis, that is, [half hip (artificial femoral head) or total hip replacement surgery], for large hospitals this is a more conventional operation, skilled doctors can complete the operation in dozens of minutes, the surgical incision only needs 6-8cm long, small trauma. The main risk is anesthesia, and it is recommended that an internist consult to adjust the physical condition and undergo surgery with intravenous nutrition**.

The success rate of this surgery is still very high for the elderly with severe hypertension, coronary heart disease, diabetes, emphysema, etc., so it is recommended that you go to a major hospital to have a look.

After surgery, patients can get out of bed and walk as early as possible with the support of crutches or family members, which is conducive to recovery in all aspects and avoids complications of bed rest. Avoid exacerbations of some underlying medical conditions.

Of course, the risks of surgery are still in anesthesia. The operation is an epidural anesthesia, which can be assisted by intravenous sedation, and the patient can fully cooperate with the surgical management in the sleep state during the operation.

After the elderly are bedridden for one month, no matter if the fracture heals well, the possibility of wanting to stand again is small, and the muscles of the lower limbs have been disused atrophy. And also face the complications of being bedridden: the need to turn over regularly to avoid bedsores; Drink plenty of water and pat yourself on the back to encourage coughing to avoid pneumonitis and urinary tract infections; Massage the lower extremities to avoid deep vein thrombosis.

I hope it helps you, and I will reply as soon as possible if you have any questions, I wish the old man a speedy **!