Treatment of hip fractures in the elderly

Typical symptoms after hip fracture in the elderly

The symptoms of hip fracture in the elderly are also different due to the specific location and degree of the fracture.

First of all, the symptoms of displaced fractures are relatively typical, mainly manifested as hip pain, inability to stand and walk, limited functional activity of the affected limb, pain when the affected limb moves, or even very severe pain, the affected limb is in the state of external rotation, the tip of the foot is obviously tilted outward when lying in bed, the affected limb is often accompanied by shortening, slightly flexion of the lower limb, that is, slightly curled leg. There is tenderness in the front or outside of the hip, and the pain can be aggravated when the hip or heel is tapped.

Secondly, impacted fractures without displacement, undisplaced fractures, often have mild symptoms, no obvious deformity of the affected limb, only some pain in the groin and the root of the thigh or the knee, and sometimes the patient can walk, which is difficult to find.

Treatment of hip fractures in the elderly

The treatment of hip fractures in the elderly can be divided into conservative treatment and surgical treatment. If the displacement is not obvious, conservative treatment can be taken. Surgical treatment should be performed in patients with significant displacement.

Many people believe that the elderly hip fracture is at high risk, with more complications and comorbidities, so it should be treated conservatively. However, only a few types of hip fractures are suitable for conservative treatment, and most hip fractures recover faster and better with surgery, which is also confirmed by big data.

Surgical treatment can be divided into: 1. Minimally invasive surgery, such as closed reduction and cannulated nail or intramedullary nail internal fixation; 2. Open reduction and internal fixation; Third, artificial femoral head or total hip replacement.