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Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

author:Dr. Pang popularizes health

1. Liang Xiaoqin, Jia Yunyang, Peng Guiling, et al.Construction of nursing quality evaluation system for elderly patients with hip fracture during the transitional period of discharge[J].Nursing Research,2024,38(06):1058-1063.

2. Shen Lan, Lu Chunmei.How to first aid hip fracture in the elderly[J].Friends of Science,2024,(03):66.)

3. Pan Shenghong.Application effect of predictive nursing in the prevention of venous thrombosis in elderly patients with hip fracture[J].Primary Medicine Forum,2024,28(06):69-71.DOI:10.19435/j.1672-1721.2024.06.022.

Fracture is something that many people have experienced, no big deal, generally after a period of recuperation, the broken bone will heal, and even some of the healed bones are thicker than the original bones, but for the elderly, a small hip fracture may pay the price of life, is it because of the reason for the operation? In fact, no, for them, the operation is not dangerous, and the complications after the operation are the root cause of the loss of life.

In February 2018 in Sichuan, 72-year-old Uncle Liu did not hold steady when he went down the stairs, and fell on the stairs with one foot, and then felt a sharp pain in his waist, and collapsed on the stairs with a pale face.

Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

The pain in the hip has not disappeared after the fall, although the pain is not obvious, but you can still see a little swelling in the hip, you can still feel a little increase in temperature when you touch the swelling with your hands, and it feels warm to the touch, and if the stride length of walking increases, it will make the pain of the swelling more obvious, so in order to prevent pain, Uncle Liu only dares to move slowly in small steps, and in order to reduce the swelling, he bought a few plasters for the treatment of bruises and pasted them on the swelling.

In March 2018, Uncle Liu found that the pain was still not relieved, but sometimes the symptoms were aggravated, at this time, as long as he stood up, he could feel obvious pain, and sometimes a little pressure on the hip would make the pain more intense, and the pain was not peaceful when sleeping, and he had to open his left leg outward to relieve the pain.

Uncle Liu's children felt that something was very wrong, regardless of Uncle Liu's objections, and sent Uncle Liu to the hospital, after the hospital listened to Uncle Liu's children tell the cause of the illness, according to Uncle Liu's fall history, arranged for Uncle Liu to do an imaging examination, the results of the examination came out, no accident, Uncle Liu's femur tibia fracture was broken, and the doctor also admired it, Uncle Liu's femur was about to break in half and could hold on for so long.

Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

Due to the fracture for too long, the broken part of Uncle Liu's left hip joint has been necrotic due to long-term ischemia and hypoxia, which is also the main reason why Uncle Liu can't stand now.

For the elderly in their seventies, it is undoubtedly a great challenge to partially remove the necrotic trochanteric trochanter, and then make a new artificial hip joint in the femur.

However, fortunately, the doctor's skills are skillful, the operation was perfectly successful, there were no dangerous symptoms such as heavy bleeding, and the healing of the postoperative incision was also very good, which was a happy result, and then Uncle Liu began the rehabilitation stage, the fracture wants to get better, it is nothing more than waiting for the bone to grow back, but due to the change of age, the speed of osteoblast production in the elderly will not be able to keep up with the speed of osteoclast ablation of bones, so for the elderly, the healing of bones is the slowest.

Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

Uncle Liu began a long-term bedridden recuperation process, and slowly the family found that Uncle Liu looked very good at first, but as time went by, his body became more and more haggard, often coughing non-stop, coughing up a mouthful of thick phlegm from time to time, and Uncle Liu would also be woken up by coughing in the middle of the night. But Uncle Liu is carefully taken care of every day, and the food is nutritious and rich, with a lot of three meals a day, why is his body getting weaker and weaker?

In October 2018, after a violent cough, Uncle Liu began to wheez, wheezing soundly, with wheezing, the family sensed that something was wrong, and hurriedly dialed 120, and when the emergency personnel arrived, Uncle Liu's breathing had stopped, and then he was quickly sent to the hospital.

At this time, Uncle Liu's family members were all devastated, and they did not understand how a good person died suddenly? The doctor told them that Uncle Liu died of suffocation because of respiratory failure caused by a long period of lack of oxygen, and because of the sudden occurrence of respiratory failure, he had already lost his vital signs when he was sent to the hospital, and the rescue was useless at this time.

Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

The family members didn't understand even more, how could Uncle Liu have respiratory failure? Could it be that he was infected with some acute flu In order to appease the emotions of the family, the doctor also regretted that the main cause of Uncle Liu's respiratory failure was the hip fracture, which is also called the last fracture of life, and 70% of the elderly hip fracture patients in clinical practice will eventually die because of this disease.

So the family members continued to ask: Wasn't the operation very successful, and the relationship between the leg fracture and the lung was incomparable, how could it be because of the respiratory failure caused by the hip fracture? The doctor sighed: Yes, no one would have thought that a small fracture would easily take away people's lives, but for hip fractures, the most surgical is not the most dangerous thing, and these three complications after surgery are the root causes of countless lives...

When a hip fracture occurs, the first complication is a respiratory problem, but when a person is seriously ill, all complications begin with breathing problems. This is because after long-term bed rest, people will have a low immunity due to lack of exercise, and after the immunity is reduced, the lungs are most likely to be infected.

Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

After the lungs are infected by bacteria or viruses, people need to cough up phlegm frequently, and the bedridden posture is not conducive to the discharge of sputum, so the sputum with various pathogens will accumulate in the body in large quantities, further affecting the environment of the lungs, aggravating the infection of the lungs, and finally affecting the entire respiratory system.

Secondly, hip fracture has a high probability of disability, because this part carries all the weight of the upper body of the human body, when the fracture, if the treatment is not timely, the fracture site will be displaced, or due to long-term ischemic fracture part of the bone will die, and finally lead to physical disability, when standing, the gravity of the upper body makes the hip pain serious, so the person will lose mobility, and even can not stand, can only rest in bed for a long time, and the necrotic part is also prone to infection, and finally lead to loss of life.

Finally, when a person is bedridden for a long time, because the person's posture will not change, it will cause the skin surface to continue to be under pressure, which will block the venous circulation on the skin surface, resulting in varicose veins, and long-term varicose veins will cause necrosis of the corresponding tissues, resulting in local tissue infection and ulceration, which is often referred to as bedsores.

Doctor: Hip fracture surgery is not terrible, what is really terrible is these 3 complications

The first thing is to seek medical attention in time, if the surgery is carried out as soon as possible, the bone necrosis at the fracture site can be avoided, and if it is already necessary to stay in bed for recuperation, then it is necessary to pay attention to changing the position, and massage the long-term pressure of the part to dredge the blood, and also continue to carry out rehabilitation training. Moreover, it is necessary to actively carry out rehabilitation training, exercise without affecting health, improve immunity, and protect physical health.