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Pub date
2010-01-31
elderly prone to fracture Osteoporosis
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The elderly prone to fracture Osteoporosis
We know the elderly with osteoporosis, it is necessary for their physical three fracture-prone sites heighten our vigilance. Common Diseases According to statistics, the osteoporotic patients, 20% of fractures, some of which will be a result of dysfunction, disability, and some will be bedridden due to fracture, causing bedsores, pneumonia, urinary tract infection, combined disease, leading to failure. We know the elderly with osteoporosis, it is necessary for their physical three fracture-prone sites heighten our vigilance.
This is a wrist fracture of osteoporotic fractures in the elderly the most common kind. When people want to fall, the more will reflex to reach out to support the palm of your hand touch the ground protect the body.
For this fracture, non-surgical treatment can achieve more satisfactory results. That is under local anesthesia techniques traction reduction, wrist flexion ulnar deviation fixed a month. Removed after fixation by 2 to 3 months, functional exercise will gradually return to normal.
Multi-vertebral fractures occurred in the lumbar spine and the thoracolumbar vertebral body parts. Osteoporosis occurs when the body is often the first involving the spinal vertebrae, so that play a supportive role within the vertebral body trabecular bone becomes less in quantity, quality, structurally fragile. In severe cases, such as a loss of vertebral columns supporting an empty house, it would only have walls. Once stimulated by external forces, such as Diezuo injuries occur, their empty vertebral osteoporosis are prone to morphological changes, namely, vertebral compression fractures. At this time further exacerbated symptoms of low back pain patients, some pain may radiate into the abdomen. Lying from limited mobility, humpback deformity is also becoming increasingly apparent.
The early 90s of last century, China imported from abroad used in vertebroplasty treatment of vertebral compression fractures, obtained satisfactory curative effect. This is a minimally invasive surgery, for early, incomplete vertebral compression fractures, can receive immediate effect; for some number of vertebrae than the old fractures, as long as the vertebral body has not been fully compressed, there will be good results.
Hip fracture is the hip joints of the lower limbs and trunk. Moments in fall, lower limb support, twisted like a lever-like forces will act on the hip, osteoporosis and the elderly are likely to cause femoral trochanter, or femoral neck fractures. At this point patients with hip pain, limited mobility, limb showed varus external rotation.
1. Trochanteric fractures. This area of bone due to the state is better blood circulation, usually 6 weeks to heal. Non-surgical treatment is the patient bed, limb-bit internal rotation was continued outreach skeletal traction. But even 6-week traction, will be very painful for the elderly patients, care is also very difficult. So in the early injuries, surgical fixation is a more positive approach. Surgery can be used, or dynamic hip intramedullary nail fixation plate to do.
2. Femoral neck fractures. This is the most difficult human fracture healing fracture site. Healing time took more than 3 months, there is still a part of the unhealed fracture in patients with femoral head necrosis of the merger-prone. Treatment methods should be preferred artificial femoral head replacement or total hip replacement surgery. Whether the patient can accept such a surgery, from a medical point of view depends largely on their physical condition. In general, as long as patients with cardio-cerebral blood vessels and major organs functional status allowed the injured early surgical treatment should not be lost time.
We know the elderly with osteoporosis, it is necessary for their physical three fracture-prone sites heighten our vigilance. Common Diseases According to statistics, the osteoporotic patients, 20% of fractures, some of which will be a result of dysfunction, disability, and some will be bedridden due to fracture, causing bedsores, pneumonia, urinary tract infection, combined disease, leading to failure. We know the elderly with osteoporosis, it is necessary for their physical three fracture-prone sites heighten our vigilance.
This is a wrist fracture of osteoporotic fractures in the elderly the most common kind. When people want to fall, the more will reflex to reach out to support the palm of your hand touch the ground protect the body.
For this fracture, non-surgical treatment can achieve more satisfactory results. That is under local anesthesia techniques traction reduction, wrist flexion ulnar deviation fixed a month. Removed after fixation by 2 to 3 months, functional exercise will gradually return to normal.
Multi-vertebral fractures occurred in the lumbar spine and the thoracolumbar vertebral body parts. Osteoporosis occurs when the body is often the first involving the spinal vertebrae, so that play a supportive role within the vertebral body trabecular bone becomes less in quantity, quality, structurally fragile. In severe cases, such as a loss of vertebral columns supporting an empty house, it would only have walls. Once stimulated by external forces, such as Diezuo injuries occur, their empty vertebral osteoporosis are prone to morphological changes, namely, vertebral compression fractures. At this time further exacerbated symptoms of low back pain patients, some pain may radiate into the abdomen. Lying from limited mobility, humpback deformity is also becoming increasingly apparent.
The early 90s of last century, China imported from abroad used in vertebroplasty treatment of vertebral compression fractures, obtained satisfactory curative effect. This is a minimally invasive surgery, for early, incomplete vertebral compression fractures, can receive immediate effect; for some number of vertebrae than the old fractures, as long as the vertebral body has not been fully compressed, there will be good results.
Hip fracture is the hip joints of the lower limbs and trunk. Moments in fall, lower limb support, twisted like a lever-like forces will act on the hip, osteoporosis and the elderly are likely to cause femoral trochanter, or femoral neck fractures. At this point patients with hip pain, limited mobility, limb showed varus external rotation.
1. Trochanteric fractures. This area of bone due to the state is better blood circulation, usually 6 weeks to heal. Non-surgical treatment is the patient bed, limb-bit internal rotation was continued outreach skeletal traction. But even 6-week traction, will be very painful for the elderly patients, care is also very difficult. So in the early injuries, surgical fixation is a more positive approach. Surgery can be used, or dynamic hip intramedullary nail fixation plate to do.
2. Femoral neck fractures. This is the most difficult human fracture healing fracture site. Healing time took more than 3 months, there is still a part of the unhealed fracture in patients with femoral head necrosis of the merger-prone. Treatment methods should be preferred artificial femoral head replacement or total hip replacement surgery. Whether the patient can accept such a surgery, from a medical point of view depends largely on their physical condition. In general, as long as patients with cardio-cerebral blood vessels and major organs functional status allowed the injured early surgical treatment should not be lost time.
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