Clinical And Diagnosis Analysis Of Old Patients With Hip Fracture

Objective To evaluate the treatment of hip bone fracture in the senile patients, and analyse its characteristics and key points in diagnosis and treatment.Methods All 150 cases over 60 years old (age ranging from 60-97) with, hip fracture were treated from Apr 2003 to Mar 2004. There were 59 males with a mean age of 70.4 years and 91 females with a mean age of 75 years . The types of bone fracture included femoral neck fracture(91 cases,26 males and 65 female),femoral intertrochanteric fracture 59 cases,33 male and 26 female. 4 cases were treated by non-operative methods-, 146 patients received operative treatment, among 52 internal fixation.34 replacement of artificial femoral head, and 50 all hip artificial c Some patients were given antiosteoporotic drugSc Results 80 cases were followed up for 1 month to8 months. 2 cases had femoral head ischemia and necrosis,2 cases loosened and slipping internalfixation .1 case break of internal fixation . 4 cases suffered pain caused by artificial femoral head sinking. 135 cases got satisfactory results (90%). Conclusion (1)Hip bone fractures are mostly seen in elderly women (60.7%).while less in elderly men (39.3%),which is related to the osteoporosis after menopause in females. Femoral neck fractures are mostly seen in senile females, while femoral intertrochanteric fractures are mostly seen in senile males . After 70 years of age. the hip bone fracture occurs more frequently than before, which is related to the osteoporosis, suggesting that the occurrence rate and risk of bone fracture increase with the age. (2) The hip bone fracture in the elderly is attributed to osteoporosis, but the femoral intertrochanteric fracture generally has a history of injury . The femoral neck fracture is often caused by a slight force (torsion),so we should make a right diagnosis and try to prevent lost diagnosis or misdiagnosis, which will have negative effect. (3) Since old patients often suffer from cardiovascular disease or respiratory disease, being bed for a long penod is deadly dangerous c If there is no contraindication, operation should be performed as early as possible, and exercises should be done early after leaving bed. (4)We should treat the osteoporosis together with fracture, which is of great significance in relieving bone pain, promoting bone healing and preventing hip bone from fracture again .