Dr. Sumit Chawla
Orthopedician and Traumatology
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Patient's Query
Hello doctor,
My father is 93 years old with several comorbidities. He fell suddenly, and this happens to be his first fracture. High blood pressure and diabetes both are under control with medication. He also has two stents and a bioprosthetic valve. He suffered a fractured hip. It appears to be an intertrochanteric fracture. He is taking beta-blockers, blood thinners, insulin, and diuretics. What treatment options are available? Is minimally invasive partial hip replacement possible? Please advise.
Hi,
Welcome to icliniq.com.
The images attached have very poor quality (attachment removed to protect patient identity). Your father has a three-part intertrochanteric fracture and does not require a hip arthroplasty. Hip salvage surgery is indicated. My choice for an implant is a proximal femoral interlocking nail. Dynamic hip screw (DHS) can also be done, but arthroplasty is undoubtedly not indicated. The only point in favor of replacement is early mobility, and advanced age may require hip replacement arthroplasty in the future in case of a neck fracture. Kindly attach clear images in the follow-up.
Kindly revert with clear photos to suggest you better treatment.
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Orthopedician and Traumatology
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