Elderly people are prone to hip fractures, what are the causes?

Femoral neck fracture is one of the common fractures in middle-aged and elderly people, and almost all femoral neck fractures in middle-aged and elderly people are caused by indirect violence, mainly external rotation violence, such as flat falls, sudden twisting of lower limbs, etc. Generally, it is mostly due to road slippage, uneven road and lower limb torsion, varus or valgus during the fall of the upper ** step. At the same time, there are also internal factors, such as osteoporosis, which are mainly due to old age and frailty, low neuromuscular regulation, joint inflexibility, and lack of defensive response to external injury.

Because of osteoporosis in older people, even very light forces can cause fractures. Older people have reduced ability to perform daily activities, and their nervous system is less flexible than that of younger people, and the risk of fractures is naturally increased due to disease comorbidities.

Because of the aging of the ligament muscles around the joints of the elderly, they become stiff, their reaction ability is significantly weakened, and they are prone to falling, especially slipping in the process of going to the toilet at night. To be precise, if there is no habit of strength exercise, then the proportion of muscle will be lost, and the bones without muscle protection are more likely to develop osteoporosis, coupled with calcium deficiency, it will greatly increase this risk.

The reason for this is that the amount of inorganic and organic matter in the bones of older people is very different from that of younger people. A child's bones are softer and can be opened when splitting. As we age, our bones gradually harden, and many movements are difficult to do.

The milk powder has a high level of high-quality protein complete amino acids, 100% vitamin B12, and is a high-quality protein supplement for the elderly. The old people in my family are using this protein milk powder, the effect is very good, 80-90 years old, easy to climb the stairs, light walking. It's worth it.

She called **, and sure enough, it was a fracture of the distal radius. According to her analysis, her usual living habits, love to drink, go to bed late and get up late without seeing the sun, do not like to exercise, menopausal hormone metabolism disorders, and several triggers that induce osteoporosis all account for ......Of course, if the patient has a more serious underlying disease, especially long-term severe diabetes, it is recommended to consider it carefully! It is best to ask a doctor for a comprehensive evaluation if you can change it, and it is best to find a few more specialists to see.

The simple criterion of evaluation is that surgery is recommended if you were able to walk before the trauma, otherwise it can be conservative.

If the hip fracture of the elderly is not replaced, it is an important cause of death, and it generally does not exceed half a year, and after hip replacement surgery, it can basically return to the quality of life before the fracture. Now hip replacement surgery is very mature, and it can be done in a tertiary hospital, so surgery should be performed. The elderly can borrow a walker to get out of bed soon after surgery.

After seeing several elderly neighbors undergo such surgeries, Hao will soon be able to go out and set up a dragon gate formation with others.

It is mainly related to the particularity of the elderly and the special location of the fracture, among which hip fractures, especially intertrochanteric fractures and femoral neck fractures, are called the last fractures in life. Because after the fracture of this part, if you choose to be conservative, then you will inevitably need long-term bed rest, and the elderly have weak physical functions, and long-term bed rest will lead to a series of serious complications, such as falling pneumonia, deep vein thrombosis of the lower limbs, bedsores and other fatal complications. Therefore, once the elderly fracture is fractured, as long as they can tolerate surgery, they must be operated on as soon as possible, so that the elderly can move down early, otherwise it is easy for the elderly to die quickly.

Surgery within 48 hours after injury has better results in mortality, pain, complications, length of hospital stay, etc., Studies have shown that hip fractures in the elderly, if conservative ** is taken, the survival rate after one year is only 50%, and long-term fever will seriously consume the nutrition and various energy of the elderly, and eventually induce failure and death.

It is difficult for the hip joint to heal on its own, and if the fracture affects the movement of the whole body, leading to other complications; Moreover, there are major major arteries at the hip joint, and fractures can easily lead to massive bleeding and death from shock.

Because the bones of the elderly are relatively fragile, their hip joint fracture is very difficult to heal, and it is easy to cause other diseases to aggravate the condition.

Problem Analysis:

The degeneration of the hip joint in young people is mainly due to the severe calcium deficiency of the body and little physical exercise, which will lead to serious bone degeneration.

Suggestions: In this case, it is necessary to take high-calcium tablets to supplement calcium, and then do more physical exercises, such as jogging, etc., in the sun, the body bones can be strong, otherwise it will lead to osteoporosis and fractures will occur in severe cases.

Hip Fracture in the Elderly is a book written by Liang Yutian and published by the People's Military Medical Publishing House in 2009. The book is divided into 12 chapters to elaborate on the risk factors related to elderly hip fracture, the structure and fracture characteristics of elderly hip, as well as the concept, principles, anesthesia methods, surgical methods, fracture care, and postoperative hip fracture in the elderly. In addition, the surgical classification, complications and surgical methods are introduced in detail according to the location of hip fracture in the elderly.