As they say, old age is not a joy. And one of the reasons for this attitude towards the “autumn of life” is undoubtedly frequent injuries, for example, a hip fracture and other bone fractures in old age. A young man can earn such an injury by hitting a car accident or jumping out of a window. But it’s enough for the elderly to stumble. The reason for this is age-related fragility of the bones, or osteoporosis.
Hip injuries require long-term treatment. In this case, the victim is immobilized. And this threatens with congestive pneumonia, pyelonephritis, bedsores. His life depends on the quality of patient care.
- Types of injury
- Symptoms of Damage
- What will help doctors
- How the bones are fused
- help yourself
- What can be done with folk remedies
- Hip fracture in the elderly treatment time
- Compression hip fracture: causes, diagnosis, first aid and rehabilitation
- Causes of Injury in the Elderly
- Types of pelvic fractures
- Characteristic symptomatology
- First a >Such damage requires accuracy. The first aid scheme is as follows:
- Establishing diagnosis
- Medical events
- Rehabilitation techniques
- TBS fracture
- Why does a pelvic fracture happen?
- Types and symptoms: how the injury manifests itself
- How to provide first aid?
- Diagnostic measures
- How is the treatment carried out?
- Operative intervention
- Conservative methods
- Hip fracture recovery
- Physiotherapy Methods
- Therapeutic exercises
- Hip fracture treatment and rehabilitation
- Causes of injury
- Fracture classification
- Signs of a fracture
- First aid
- Methods of treatment
- Rehabilitation period
Types of injury
When we talk about a hip fracture, we have in mind three options:
- acetabular fracture,
- hip fracture
- fracture of the femoral head.
Acetabular fractures occur most often during car accidents. They are possible when falling from a great height. Damage to the acetabulum is often combined with dislocations and fractures of the hip.
Fractures of the femoral head are rare. There is a crushing of the head – the so-called comminuted fracture. The thigh head on an X-ray resembles a broken vase. It happens that one fragment can break off from the head, like a piece from a loaf.
The most common of these three options is the second: hip fracture.
The neck is the Achilles heel of the femur. The femoral neck can break inside the joint capsule – this is an intra-articular fracture. Or outside the joint, an extra-articular fracture. Fractures are often accompanied by displacement of fragments, as the powerful muscles of the pelvic region “pull” parts of the bone to the sides. All of these fracture varieties have similar symptoms.
But there is a so-called hammered fracture of the femoral neck, when one bone fragment is hammered into another. Imagine that you drive a stick inside a metal pipe. This is what a fractured fracture looks like. With such an injury, you can lean on your leg. A person can walk and not suspect that he has a hip fracture, because there is no bone displacement.
Symptoms of Damage
There are several signs that can distinguish a bruised hip from a fracture.
- The leg on the side of the fracture is unnaturally turned outward, so that the edge of the foot lies on the bed.
- “Symptom of an adhered heel”: a person can bend a leg at the knee, but cannot lift it. The heel drags all the time on the bed.
- When striking the heel, pain occurs in the area of the hip joint.
- The leg on the side of the fracture can be shortened by several centimeters.
With a fractured fracture, there is pain in the thigh, which is worse when walking. This pain can give in the groin or leg. For several days, the symptoms are limited to this, until the fracture clears under the influence of muscle traction. Then the clinic will become apparent.
If a hip dislocation accompanies a fracture, then new symptoms appear: it is impossible to move a leg, a depression forms in the area of the hip joint. Trying to correct such a fracture-dislocation, you can cause a significant displacement of the bones, bleeding, pain shock. Remember that you can correct hip dislocation, even uncomplicated, only under general anesthesia.
If the displacement is small, the fracture will look like a bruise. And before the x-ray is performed, the victim must be treated as if he had a fracture. It is necessary to apply a splint on the leg and deliver the victim to the doctor in a prone position.
An accurate diagnosis can only be made using an x-ray.
What will help doctors
Fracture treatment is possible by two methods: conservative (without surgery) and surgical. An almost conservative fracture treatment is a fixative plaster cast. It is superimposed after the bone displacement is eliminated.
In order to reliably fix the hip joint, it is necessary to impose gypsum from the armpit to the heel. In this bulky heavy dressing you will have to walk from 3 to 6 months. In old age, this is unrealistic, therefore, treatment is sometimes carried out using the method of constant skeletal traction. This means that the patient lies with a load suspended from his leg for 6-7 weeks. Without surgery, a fracture heals well only in 1 out of 5 patients. Therefore, such treatment is used only in those patients for whom the operation is strictly contraindicated.
Surgical treatment can be of two types. It happens that, eliminating the displacement, bone fragments are fixed with screws. This is called osteosynthesis. Or, the femoral head is immediately replaced with a prosthesis (this is called endoprosthesis replacement). To eliminate bone displacement, skeletal traction may also be necessary before surgery.
Surgical treatment allows the patient within a week after the operation to give a minimum load on the leg, and after 2-3 weeks it will be possible to get up.
How the bones are fused
The efforts of doctors are aimed at eliminating displacement, bringing together bone fragments and fixing them in this position. All further depends on the organism itself. Bones have the ability to regenerate – complete recovery. The formation of bone tissue at the fracture site can go in two ways.
If the width of the discrepancy between the fragments is not more than 100 microns, then the gap is filled immediately with bone tissue. Small blood vessels sprout into the lumen of the fracture. Around them, osteons are immediately formed – structural units of bone tissue. Osteon is a capillary surrounded by a “winding” of bone substance, like a wire in isolation. From such tiny cylinders the bone tissue also consists. Bone restoration, in which bone tissue is immediately formed, is called primary regeneration. This option is found in hammered fractures.
In other cases, it is impossible to achieve such an ideal juxtaposition of fragments, and bone restoration takes place in a different way. Between fragments there is a “patch” of cartilage. The wider the gap between the bone fragments, the more cartilage tissue will grow between them. Then there is a gradual ossification of the cartilage callus. First, blood vessels penetrate deep into the cartilage, and then osteons form around them.
Bone tissue, which forms at the site of cartilage callus, is initially inferior. Osteons in it are located “anyhow”, at different angles. Then there is a restructuring of this defective bone tissue. On the surface of the bone, new osteons are arranged in parallel. A compact substance is formed from them – a solid plate covering the bone from the outside.
A bone marrow canal forms inside the bone marrow, as in all long bones. All unnecessary osteons are absorbed.
If treatment is carried out by skeletal traction, the most important thing is to maintain the patient’s activity. From the first days it is necessary to do breathing exercises, turn in bed, as far as the load on the leg allows, do gymnastics. For such a patient, movement is literally life.
The simplest breathing exercises are to inflate balloons, to blow into a children’s pipe, to whistle a whistle. The patient’s bed often needs to be changed and monitored so that there are no folds or crumbs on the sheet. This is the prevention of pressure sores. Better to prevent them than to treat.
After surgery, treatment is easier, although it will take a lot of time to recover. The main thing is motor activity. You can’t feel sorry for yourself. The bone is restored under the influence of the load. So, the more active you are, the stronger the callus will be. Immobility is also dangerous because joint contracture may develop. And treating her is very difficult.
Here is a simple exercise that you can start in bed. Imitate walking by making light, combined foot movements. Connect the movement of the shoulders back and forth. The same exercise can be done while sitting. “Walk,” lifting heels or socks one at a time. There should be no pain.
Continue to perform simple movements as much as you can, until the first fatigue. More complex exercises need to be agreed with the doctor.
What can be done with folk remedies
Treatment with folk remedies will help relieve pain and accelerate bone growth. Professor D. D. Sumarokov in the treatment of folk remedies identifies 4 stages. Each stage takes 7-10 days.
|1 stage.||Resorption of small fragments on the fracture line.||Need vitamin A. Folk remedies can replace the intake of tablets. Eat grated raw carrots with butter or sour cream as your stomach allows. Or drink carrot juice with a spoonful of vegetable oil.|
|2 stage.||The formation of corns from cartilage.||It is possible to stimulate the formation of corns from cartilage tissue by folk remedies. Eat plenty of jellied meat, especially from pork ears. Drink a rosehip broth, it contains the necessary vitamin C. Eat apples – a source of iron.|
|3 stage.||Primary bone callus formation.||Need calcium and vitamin D. Recognized folk remedies at this stage are crushed egg shells. A diet rich in calcium (fish, cottage cheese, cheese), fish oil is shown. You can activate vitamin D with such folk remedies as a raspberry leaf (infusion), licorice root.|
|4 stage.||Bone callus remodeling.||You need vitamin D, and calcium can not be taken.|
Known folk remedies that facilitate bone growth are mummies and honey. Dissolve 8 grams of mummy in a spoon of water and add 180 grams of honey. Take the drug on a tablespoon on an empty stomach 2 times a day. The course of admission is 25 days. Folk remedies can also alleviate pain and relieve swelling. To do this, apply a compress of grated raw potato to the fracture area at night.
Treating hip fractures requires courage and patience. A loved one in such a situation needs your support. We wish you success!
Hip fracture in the elderly treatment time
Compression hip fracture: causes, diagnosis, first aid and rehabilitation
- Causes of Injury in the Elderly
- Types of pelvic fractures
- Characteristic symptomatology
- First aid
- Establishing diagnosis
- Medical events
- Rehabilitation techniques
Compression femoral joint fracture most often occurs in the elderly. This is due to the fact that over the years in the body there is a metabolic imbalance, tissue wear, inflammation and changes of a degenerative nature appear. The cure and recovery time in old age increases.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Causes of Injury in the Elderly
A young man is also capable of breaking a hip bone, for example, by becoming a participant in an accident or when falling from a height. But still, elderly people are more often at risk of injury. Moreover, women are more likely to fracture than men.
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People with inflammatory diseases of the bones and joints are especially at risk of injury.
By the age of fifty, the metabolism in the body becomes slow, the likelihood of inflammatory processes in the joint, osteoporosis, coxarthrosis is increasing. These factors contribute to the loss of bone tissue density, which is why even slight damage provokes serious consequences. A normal fall can cause severe compression, and the result will be a fracture of the bone or a crack in it.
Types of pelvic fractures
ICD common code 10 of all femoral fractures S72. Damage is div />
- Capital during head injury.
- Subcapital – a fracture located directly under the head of the femur bone.
- Transcervical – damage in the femoral neck.
- Basis cervical – at the base of the neck, where it connects to the bone body.
More often, fractures of the upper part of the skeletal structure, its cervical area are recorded. If the bone is fragmented, the fragments are able to move or hammer into each other. Much more rarely observed bone fracture in the acetabulum. Moreover, almost always he is accompanied by a dislocation of the hip joint with a rupture of the ligaments.
Fractures are divided into closed and open. The latter is more dangerous: an infection can enter the wound canal, which leads to suppuration and blood poisoning.
The main symptoms of a hip fracture are:
- Pain in the groin. They can hardly disturb at rest, but when the patient tries to move his limb, the intensity of the pain increases.
- Hematoma. Such a symptom occurs only a few days after injury.
- The location of the foot. When a fracture occurs, its outer edge is completely located on a horizontal plane.
- Inability to properly move a limb. In case of a fracture of the joint of the pelvis and hip, the victim cannot rotate with his leg and turn it with his knee or foot inward. The latter is always outward. The foot is shortened by about 3-4 cm.
In humans, after damage, the pulsation of the femoral artery increases. At the same time, he is able to bend and bend the limb, but the heel region will still move only horizontally. In addition, the injured cannot raise the straightened leg and keep it in that position.
Driven neck fractures are very dangerous. They are accompanied by moderate pain in the thigh with increased mobility. These sensations can radiate to the inguinal or lower leg area, foot. Signs no longer appear until the fracture is wedged under the influence of muscle traction. Sometimes wedging occurs after a few days and even weeks, the victim does not seek medical help, losing valuable time.
First a >Such damage requires accuracy. The first aid scheme is as follows:
- The victim must be laid on his back.
- To relieve excruciating pain, an analgesic is suggested. You can attach a cold object near the damage site.
- If the skin is affected, it is necessary to treat it with an antiseptic or at least an alcohol-containing composition, clean water.
- If there is bleeding, you need to stop it by squeezing the vessel and securing the tourniquet.
- A splint must be applied to the affected leg to fix the joint in a fixed position.
Only a stretcher is allowed to transport a victim of a TBS fracture. It is forbidden to return the injured leg to its normal position – there is a risk of damaging the tissue even more.
Diagnostic measures begin with a visual examination and history taking. To clarify the preliminary diagnosis of the victim, they are sent for radiography. Based on the results of the images taken, a final conclusion is made.
Sometimes a computerized tomographic examination is required to accurately diagnose damage. Using this technique, the presence of degenerative changes and pathologies in the injured area is clarified.
According to the results of studies, they conclude that surgical intervention is necessary. If it is required, additional examinations are prescribed:
- ultrasound examination in cases of suspected trauma to the internal parts of the pelvic region;
- MRI, if the ultrasound could not clearly show all the damaged areas.
A blood and urine test, an allergy test are also taken.
The course of treatment is selected individually for each patient. The choice is based on the degree and type of injury, personal indicators of the victim, his state of health.
Conservative therapy is more suitable for young patients. It is based on the immobilization of a damaged limb by applying a plaster cast or using skeletal traction.
Three months later, they are allowed to move with the use of walkers and crutches in order to exclude the load on the diseased limb. Fully leaning on the foot is only possible after six months. The terms of treatment for a hip fracture increase in old age up to a year.
In injuries with displacement, even young patients are offered surgical intervention. It is carried out by the method of osteosynthesis, where special screws and pins are used as a fixator for bone fragments.
For older people, endoprosthetics are more often used, that is, a complete replacement of a damaged joint with an artificial one. Depending on the modification, endoprostheses can last up to 20 years.
The operation is performed free of charge for social reasons or for a fee. The price consists of the cost of consumables and anesthesia, the remuneration of surgeons and medical staff, and postoperative hospital care. On average, all this is about 100 rubles.
The consequences of a hip fracture are especially dangerous in old age. They are associated with prolonged immobility during bone healing. Because of this, complications of chronic diseases arise, heart failure is aggravated, congestive pneumonia, bedsores can occur.
With an injury to the cervical part, more than 50 percent of patients die in a year. Thanks to the operation, negative consequences can be avoided. A person will be able to move and fully live within three days after the intervention.
A set of rehabilitation measures is selected for each individual patient. It is important to resume motor activity. In order for a person to recover faster and avoid serious complications, such measures are prescribed:
- antibiotic treatment to prevent concomitant infections;
- therapeutic breathing exercises to accelerate blood circulation and ventilation;
- exercise therapy under the supervision of a specialist for limb development;
- manual and physiotherapy.
Also in the recovery period, wearing a bandage or orthoses is recommended.
Caring for an elderly person at home after an injury includes proper nutrition. During the recovery period, the elderly patient should receive enough protein and fortified foods. It is forbidden to eat fried foods, smoked meats and marinades, as well as caffeinated and alcoholic drinks, strong tea.
Rehabilitation measures can direct all efforts to restore the damaged joint. The sooner the victim gets to his feet, the lower the risk of serious consequences, even with a complex fracture.
Among the injuries of the lower extremities, a hip fracture is considered the most severe, since the condition is accompanied by a violation of the blood circulation of the bone. Injury is accompanied by pain, the appearance of an unexpressed hematoma, loss of ability to move, shortening of the leg. Damage is especially severe in older people. To avoid dangerous consequences, it is recommended to consult a doctor who will prescribe an effective conservative treatment or operation.
Why does a pelvic fracture happen?
Injury more often occurs in old age, because by this time the bones are losing strength due to a lack of calcium. In addition, people of advanced years suffer from dizziness, so you can break the hip joint when falling. In addition to a fracture of the pelvic bones, often the acetabular lip ruptures. This is the cartilage tissue that produces joint fluid. Among the dominant reasons due to which a closed fracture of the hip joint occurs, the following are distinguished:
- a direct hit to the thigh with a heavy object;
- motor or industrial accidents;
- extreme sports;
- OA diseases that provoke increased fragility of bones.
Types and symptoms: how the injury manifests itself
Doctors classify pelvic injuries at the location. The main types of hip fractures are as follows:
- Subcapital. A bone fracture occurs under the articular head.
- Cervical. The neck of the bone is broken.
- Basal cervical. The bone is broken in the transition zone of the neck to the diaphysis.
Open lesions are rare. They are dangerous due to severe bleeding due to damage to the femoral artery. If a fracture with a displacement occurs, then it is classified into varus, valgus or hammered. The last type of injury occurs without pronounced symptoms, and motor function is not lost. The main signs of a hip fracture are as follows:
- severe pain in the groin;
- the impossibility of support or movement;
- eversion of the foot outward in the supine position;
- pain in the pelvic region with mechanical impact on the heel;
- the appearance of a Gorinevskaya symptom in which the victim cannot raise his foot in a supine position;
- unexpressed shortening of the limb;
- weak manifestation of hematoma.
How to provide first aid?
If the fracture is open and the femoral artery is touched, a tourniquet should be applied above the damage, be sure to put a note indicating the time and date of the bandage.
A crack in the hip joint, a lip rupture or a fracture of the hollow in the ilium provokes severe consequences, so first aid should be provided quickly. Algorithm of actions:
- Lay the injured person on a hard surface (floor, boards).
- Remove shoes, belts, accessories that interfere with blood circulation.
- Provide limb peace.
- Fix the foot along the entire length with planks or special tires so that the edges of the clips are above the injury zone.
- Apply a retaining dressing.
- Give an analgesic.
- Transport the victim to the medical center.
Hip joint injuries are diagnosed by an orthopedist or traumatologist. The doctor listens to complaints and the history of the occurrence of the fracture, examines the limb and sends for radiography. In particularly difficult cases, examination with arthroscopy, MRI, ultrasound or CT is recommended. Methods allow you to determine the severity of injury to the pelvic head and surrounding tissues.
How is the treatment carried out?
The bones of the femur joint are nourished through normal blood circulation. With a fracture, the blood supply to the tissues is disturbed, so the injury heals slowly. To avoid the consequences, surgical intervention is indicated. During the operation, bone fragments are compared, and the hip bone is fixed using osteosynthesis. After medical manipulations, gypsum is applied to the pelvic ring.
The installation of the prosthesis is indicated when the fracture is accompanied by other injuries or when the joint head is completely destroyed. Polymer cementation is used, and cementless structures made of metal, ceramics, and polyethylene are also installed. The advantage of arthroplasty is as follows:
- getting rid of pain;
- mobility recovery;
- returning the victim to an active lifestyle;
- death warning.
Traditional therapy is used in case of contraindication to surgery. The limb is immobilized with gypsum or an orthosis with the capture of the foot and knee, and skeletal traction, which is carried out in a hospital setting, is also recommended. Wearing a retainer and traction lasts until the bone is fully fused. For severe pain, analgesics are recommended – Ketanov, Nurofen, Ibuprofen, Nise. To strengthen the bones during treatment, you should take such chondroprotectors and dietary supplements with calcium or vitamin D:
Medications are prescribed for rapid restoration of bone tissue.
Hip fracture recovery
Rehabilitation after a hip fracture includes the following physiotherapeutic procedures:
- applications from ozokerite or paraffin;
- infrared radiation;
- laser therapy;
- ultrasound therapy;
If the pelvis is broken, physiotherapy has the following effect on damaged tissue:
- accelerates the regeneration process;
- improves motor functions of the leg;
- accelerates the production of joint fluid;
- normalizes blood circulation in a broken bone;
- relieves inflammation and swelling;
- restores cartilage.
A set of exercise therapy exercises for a fracture can be performed in the absence of discomfort in the joint. Limb development should begin with minimal workload on the recommendation and under the supervision of a physician. The following exercises will help develop a leg after a hip fracture:
- imitation of walking lying on its side;
- swing the legs up and down and to the sides;
- circular rotation of the limb;
- walking in place with knees raised high.
If you do not conduct complex treatment of a fracture of the pelvic bones, a consequence may occur in the form of coxarthrosis, in which the joint is completely destroyed. Due to a violation of blood circulation in the mobile joint, there is a risk of necrosis of the head of the bone. The joint joints of the pelvis are poorly fused, which provokes the formation of bone callus, and subsequently the false joint.
Injury for a long time puts a person bedridden, which can lead to congestion in other organs, vein thrombosis, pressure sores, joint contracture, as well as dangerous diseases – osteomyelitis, arthrosis, stiffness of the hip joint. The psyche of the patient, who is subject to depression during this period, suffers. Only comprehensive treatment, recovery after a hip fracture and care for loved ones will help a person return to a full life.
Hip fracture treatment and rehabilitation
The hip joint is the largest in the human body that connects the pelvic bone to the hip bone. Hip fracture is most often diagnosed in the elderly. This is due to the fact that with age, activity in the human body decreases, metabolic processes are disrupted, and various inflammations often occur in the musculoskeletal system. The duration of treatment and recovery at this age is significantly increased.
Causes of injury
Despite the fact that older people are more prone to this hip joint fracture, you can get injured at a young age. In young people, the cause most often is a car accident or a fall from a height.
Traumatologists identify the following reasons that can provoke a hip fracture:
- Most injured are people over 50, and with age, the risk of such an injury increases.
- Women are more likely to receive such damage than men. In addition, it was noted that the taller the woman, the more likely to get a fracture.
- At risk are patients with inflammatory ailments of bones and joints. With age, metabolic processes slow down in the human body, the likelihood of developing osteoporosis, arthrosis or arthritis increases. All this contributes to the softening of bone tissue, so even a minor injury can lead to serious consequences. So, a simple fall can result in a fracture or a crack in the hip joint.
Doctors distinguish several types of hip fractures, the precise determination of which makes it possible to choose the most effective treatment technique. To identify the type of fracture, when describing the injury, you need to accurately indicate its location. In most cases, the upper part or neck of the hip bone is damaged. A trauma to the acetabular region of the pelvic bone is much less often diagnosed.
In case of damage to the femoral neck, the following types of damage are distinguished:
- capital – the head of the femur is affected;
- subcapital – a fracture appeared below the bone head;
- transcervical – the bone breaks in the neck area;
- basal cervical – the hip bone is injured in the place where the neck passes into the bone.
Signs of a fracture
The following symptoms allow to distinguish a hip joint fracture from its bruise:
- The victim feels severe pain that prevents any attempt to move his leg. It is impossible for a person to lift it or turn it to the side. When calm, the pain fades.
- With a broken neck of the thigh, the patient feels severe pain in the groin and joint injury site even with a slight pressure on the heel.
- In a fracture with displacement, deformation of the leg is observed. Visually, it looks like lengthening or shortening a limb from the injured side.
- When examining a patient, the doctor may notice an increased pulsation of the artery passing in the hip area.
- Based on these symptoms, the doctor can make a preliminary conclusion about a hip fracture. To confirm the diagnosis, the patient is X-rayed legs in different projections.
An injured person who has symptoms of a hip fracture needs immediate assistance, which consists of the following:
- In no case do not try to transport the injured person to the hospital yourself, as there is a risk of additional damage in case of improper transportation.
- The leg should be left alone, and not try to return it to its original state.
- Before placing the victim on a stretcher, it is necessary to immobilize the hip joint.
- Fixation of a damaged leg is carried out by applying a splint between the pelvic and ankle joints. To do this, a flat board, stick or any branch that is at hand is suitable.
- To stop bleeding with an open fracture, a tourniquet or rope is used.
- To relieve pain shock, analgesics are used.
Methods of treatment
Before proceeding with the treatment of a hip fracture, doctors conduct a complete diagnosis, which consists in studying the anamnesis, determining the type of injury and the presence of possible complications. Then the patient is sent for x-ray examination. If an open fracture is detected, a more detailed picture may require an MRI scan.
Very often, a hip fracture requires surgical intervention, which is performed under general anesthesia. Fracture of the femoral neck should be treated by fragmenting its end and fixing using internal fixation. There is an opinion that endoprosthetics of a damaged joint is the best way to treat it. This is due to the fact that in the event of a fracture, the blood circulation of the femoral head may be impaired, resulting in aseptic necrosis, which leads to additional complications.
Internal bone fixation is used when a fracture of the upper edge of the joint is detected from the outside. It is this method that allows you to achieve the desired result in treatment as soon as possible. And the time spent in the hospital will be minimal.
If the patient’s bones are strong, and as a result of an injury at the site of damage, blood circulation is not impaired, then internal fixation is performed. During the operation, the doctor aligns the broken bone and fixes its ends with a special device, which ensures quick fusion.
In case the fracture occurred inside the joint, a surgical procedure is performed, the purpose of which is to consolidate the articular cartilage. In case of additional injuries, in the place of the acetabulum, the patient during treatment is recommended to use special fixing underwear, which prevents the risk of complications. If the bone was broken as a result of a fracture, then the use of surgical screws that connect the plates will be required.
The operation is contraindicated if the patient:
- advanced age;
- infectious processes with complications;
- coronary heart problems;
- acute hypertension.
If surgery is not possible, the patient is prescribed a conservative treatment. However, this can cause complications such as the formation of pressure sores, pneumonia, and digestive disorders. In addition, conservative therapy can lead to disability due to the fact that the damaged joint cannot restore its mobility to the full.
Since surgical intervention changes the natural anatomy of the hip joint and its mobility, the patient after the operation needs compulsory rehabilitation, the average duration of which is about 1 year.
At this time, physiotherapy exercises (exercise therapy) are recommended under the supervision of a specialist, since independent studies do not have the desired effect. An exercise therapy doctor, if necessary, will be able to make adjustments to classes based on the characteristics of a particular patient.
To eliminate pain, it is necessary to perform exercises aimed at strengthening the muscles in the thigh area, which contributes to their return to normal. After muscle recovery, it is necessary to carry out a set of measures aimed at normalizing the digestive system and improving the metabolic processes of the body. And also to restore blood circulation in the area of injury and relieve swelling, massage is prescribed.
The diet should be full. In the diet you need to include products, which include a large amount of vitamins and calcium. The menu should contain fresh vegetables and fruits, which will be the prevention of constipation.
To restore the physiology of the joint, drugs containing chondoprotectors help: Chondroxide, Artradol, Mucosat and others.
It is worthwhile during the rehabilitation period to be treated in sanatoria specializing in problems of the musculoskeletal system. In addition to exercise therapy and massage, the patient can receive mud and salt applications, special therapeutic baths.
It must be remembered that such an injury as a fracture of the hip joint is very dangerous and the correct treatment method and the patient’s efforts will depend on how quickly the joint recovers.