What to do if you have a hip fracture? Treatment of hip fracture

As they age, calcium in their bones is lost, and the elderly are prone to osteoporosis. Hip fractures are a common condition among the elderly. Hip fractures are very painful, not only physically painful, but also with the risk of sequelae. Therefore, hip fractures must be treated well.

1: To relieve pain, take painkillers, use 1% procaine to block the intercostal nerves or close the fracture.

2: Local fixation and immobilization: (1) For closed single rib fractures, a multi-head chest strap, elastic chest strap or semi-circular wide tape can be used for overlapping fixation. (2) For closed multiple rib fractures, a sandbag or gauze pad with an elastic wrap can be used to stabilize the floating chest wall or the patient can be instructed to lie on the injured side.

3: Maintain respiratory function, give oxygen when necessary, encourage patients to cough and expectorate or exhale (blow) regularly or take deep breaths. If blood gas analysis shows insufficiency of ventilation function and/or hypoxia, a ventilator should be used to assist breathing.

4: Debridement should be carried out according to the debridement principles. The debridement time for open rib fractures can be extended to 24-48 hours, depending on the contamination of the wound.

5: Prevention of infection: (1) Use antibiotics. (2) Prevent tetanus. Tetanus antitoxin serum is routinely used for open rib fractures.

1: For closed single rib fractures, analgesics can be taken orally or intramuscularly. For patients with severe and intolerable pain, 1% procaine solution can be used to block the intercostal nerves or close the fracture.

2: For patients with multiple closed rib fractures, open rib fractures, or comorbidities (other injuries), or the elderly and frail, if combined with traumatic shock or cardiopulmonary insufficiency, anti-shock drugs, cardiotonic and diuretic drugs should be used, and antibiotics should be used to prevent infection. If there is hemorrhagic shock, blood transfusion and infusion are required, and thoracotomy or corresponding treatment should be performed if necessary.

3: Patients with rib fractures should be given appropriate antibiotics to prevent lung infection, and spray inhalation should be given to facilitate expectoration. If the infection cannot be controlled by basic antibiotics, effective antibiotics or new special drugs can be selected based on bacterial culture and drug sensitivity tests to fight infection.

If you are still worried about what to do with broken ribs, then take a look at some of the methods we introduced today. I believe that many people will find these introductions very useful and want to try them quickly. Middle-aged and elderly people need to pay more attention in their daily lives to avoid rib fractures and other conditions.