Osteoporosis increases the chance of falls in the elderly. This progressive bone disease is characterized by a decrease in bone mass and density, which in turn leads to weakness and an increased risk of fall and fracture. This bone weakening condition often develops in women after menopause. Low bone mineral density can cause osteoporosis in older men. Physical and mental impairments, medication side effects, poor balance, lifestyle, environmental hazards and nutrition are also factors that increase the risk of hip fracture.
Treatment for Fractured Hips
Swelling, redness and bruising in the hip area are symptoms that a fracture has occurred. The risk of further complications can be reduced if the patient is operated on as soon as possible after the fracture. However, non-surgical treatment is also available for patients who cannot have surgery due to a serious medical condition.
The two most common types of hip fractures are intertrochanteric fractures and femoral neck fractures. At established healthcare centers specializing in geriatric medical care, orthopedic surgeons, physiotherapists and other specialists work as a team to provide personalized treatment plans to help patients regain mobility and function. Both surgical and non-surgical treatments are provided for fractures of the hip.
• Surgical approach: The nature and extent of fracture is determined using diagnostic modalities such as x-rays and MRI. Surgery may involve repairing hips by inserting metal screws, replacing part of the femur, or replacing the entire hip joint. The specialized care and long-term nursing services provided at reputable rehabilitation centers help patients recover from the surgery in the shortest possible time.
• Physical therapy: Physical therapy for broken hip helps to overcome pain and restore the body’s range of motion. Rehabilitation and therapeutic sessions that include exercises and injury prevention education help strengthen the muscles, reduce pain, increase flexibility, and improve function and mobility.
• Pain management: Hip fracture pain management in elderly is crucial part of the treatment. Post-operative surgical pain as well as chronic/acute pain can be treated effectively with interventional therapies that include non-steroidal anti-inflammatory drugs (NSAIDS), routine injections, analgesics, muscle relaxant therapies, systemic analgesia, transcutaneous electrical nerve stimulation (TENS), nerve blocks, and more.
• Fall prevention: Professional healthcare centers provide slip/fall prevention programs that adhere to the clinical practice guidelines of the American Geriatrics Society. Such programs are designed to address the factors that increase the risk of falls among the elderly. Balance programs and gait training are essential elements of the program. Participants are also advised on how to minimize the impact of factors in their living and work environment that can increase their risk of falling.
As many patients most likely have a second fracture in a couple of years, the role of the orthopedic surgeon to prevent hip fractures in the elderly is extremely crucial. In a reliable healthcare center, the surgeon works with the patients and their families with follow-up to prevent future fractures.