An 82-year-old cancer patient with hip fracture received multidisciplinary diagnosis and treatment from the Affiliated Hospital of Qingdao Binhai University

2022-04-26 0 By

According to literature reports, the death rate of hip fracture in the elderly is up to 50% within one year. Therefore, hip fracture is known as “the last fracture of life”.But such a high mortality rate is not due to the fracture itself, but to serious complications.Because many elderly people have heart, brain and lung insufficiency, if conservative treatment is taken, the patient’s long-term bed will cause lung infection, urinary tract infection, pressure ulcers, lower limb venous embolism and other serious complications are very easy to occur.In addition, hip fractures cannot be effectively fixed, and the patient has difficulty turning over, nursing, and pain is more severe, so surgery is the best treatment for such fractures.Recently, an 82-year-old patient with hip fracture went to the Department of Orthopedics of Qingbin Affiliated Hospital for treatment because of pain caused by a fall 4 days ago.The patient’s family reported that he had a history of kidney cancer surgery 10 years ago, lung cancer was diagnosed six months ago, and lumbar metastasis was diagnosed again one month ago.On X-ray examination, the attending physician diagnosed a fracture of the left intertrochanteric femur, requiring surgical treatment.Patients with advanced age, many underlying diseases, and advanced tumor, high surgical risk.In view of this, in order to improve the safety of surgery, the Department of Orthopedics of Qingbin Affiliated Hospital combined with the department of anesthesiology, ICU, Cardiology, hematology, respiratory medicine and oncology conducted a multidisciplinary consultation to evaluate the patient’s condition before surgery.Medical support treatment for patients with anemia, low white blood cell and low platelet;Emergency treatment of preoperative installation of temporary pacemaker was performed for patients with prolongation of p-R interval, atrioventricular block and low heart rate, and lung function was fully evaluated.With adequate preoperative preparation, the minimally invasive percutaneous cannulus screw fixation was performed.The operation was very successful, and the patient’s condition was stabilized after intensive care in ICU. Now he has recovered and been discharged from hospital.The medical staff of Qingbin Attached Hospital adhere to the principle of mutual cooperation, grasping the nettle and doing their best in every difficulty.They serve patients with patience, love and responsibility, living up to their mission and staying true to their original aspiration.(Wang Yuanping)