Fractures in the elderly are called "the last fractures in life" by the medical community. Elderly people have poor limb coordination and have osteoporosis conditions, making them very easy to fall. If surgery cannot be performed as soon as possible, long-term bed rest will bring about many fatal complications. The patient's prognosis is self-evident. Therefore, surgical treatment is not only a cure, but also a life-saving! Recently, the Second Orthopedics Department of Feicheng Traditional Chinese Medicine Hospital admitted such an elderly patient with a fracture and successfully performed closed reduction and Intertan intramedullary nail fixation of the fracture.
Grandma Wang, 96 years old, accidentally fell down while walking and was diagnosed with a comminuted intertrochanteric fracture of the femur at Feicheng City Traditional Chinese Medicine Hospital. For this elderly patient, the risks of surgery and anesthesia, perioperative mortality, and case fatality rate are significantly higher. Through detailed examination, it was found that Grandma Wang's lung function was poor, and she also had multiple underlying diseases such as coronary heart disease and cerebral infarction. Can declining cardiopulmonary function withstand the impact of anesthetic drugs? How to spend the perioperative period safely after the operation? How to reduce postoperative complications and allow patients to move around as soon as possible? One problem after another poses challenges to the entire medical team.
Intertan intramedullary nail needle is a new generation of intramedullary nail designed for proximal femur fractures. It is a type of minimally invasive fixation. Compared with traditional incision surgery, the incision is smaller and the bleeding is less, whether it is early weight bearing Or the anti-rotation and anti-prolapse effect is more obvious. The department immediately held a case discussion and invited multidisciplinary experts from the Department of Cardiology, Department of Anesthesia, Department of Neurology and other departments for consultation. After careful evaluation and detailed analysis of the elderly man's body, and full communication with his family, the department finally decided to perform "closed fracture reduction with Intertan intramedullary surgery". Nail Fixation", and tailor-made surgical and anesthesia plans for Grandma Wang.
Preoperative blood transfusion, anti-inflammatory , phlegm reduction and other active treatments can improve the basic condition of the whole body. On the day of the operation, Yang Bo led a medical team composed of key players Wang Ming and Zhao Chuanliang to first conduct an invasive arterial blood pressure test + central venous puncture on the patient to ensure that the patient's vital signs were stable during the operation; Liu Peng, director of the anesthesiology department, personally performed the precise waist Under combined epidural anesthesia and with the full cooperation of the entire team, Grandma Wang successfully performed closed reduction and Intertan intramedullary nail fixation of the fracture in just 40 minutes.
After the operation, sputum was suctioned, patted on the back, and turned over regularly to ensure there were no pressure ulcers; air pressure pumps were used on both lower limbs to prevent venous thrombosis, etc. The head nurse Zhang Lingyun led the nursing team to patiently and meticulously provide rehabilitation guidance and functional exercises for Grandma Wang. When she was discharged from the hospital, Grandma Wang and her family were very satisfied with the treatment effect and sent a banner to the Second Department of Orthopedics. Yang Bo said, "This banner is motivation and encouragement. In the future, the department will continue to adhere to the work philosophy of excellence, constantly update business knowledge, improve professional and technical levels, and give back the trust of patients."
It is understood that Feicheng Traditional Chinese Medicine Hospital often has successful cases of elderly patients with fractures being admitted to the hospital for surgical treatment. The success of this operation is the accumulation of technology of the hospital's Orthopedics and Traumatology Department over the years, and is another verification of the good cooperation of the team. Facing elderly surgical patients, the medical team has accumulated a lot of valuable experience, and the level of surgery, anesthesia technology and perioperative care has been continuously improved, which has greatly improved the quality of life of elderly patients with fractures and won unanimous praise from patients and their families. (Feicheng City Traditional Chinese Medicine Hospital)
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Editor review: Feicheng City Health Education Center
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