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What Do These Following Lab Reports Indicate?
Question: 74 year female diagnosed with Fracture Left Hip.history of Hypertension,Diabetes Mellitus and Left hemiparesis and on Tab.Telsartan-H,Glycomet-500,Ecosprin-75,Amchek-5,Restyl 0.5,Veloz D,Absolut DM.doctors advised 2 options - 1.conservative with traction for 3 months at home. 1.Surgical intervention.request you to please refer attached docuemnts and give second opinion.what could be best the treatment for the patient at this movement.
Brief Answer:
Surgery
Detailed Answer:
Hi, I am Dr Gopal Goel ,Orthopedic Surgeon.
You have Intertrochantric Fracture of the (L) hip.
Ejection fraction in left ventricle is 72% which is very good.
In my opinion you should undergo surgical fixation. Reasons
1. Near anatomical reduction can be achieved
2. Early mobilization- I start walking next day of surgery in my patients with support .
3.Chances of stiffness of hip and knee are remote due to early mobilization.
4. Disease of prolonged immobilization like venous embolism, bed sores ,chest infection are avoided.
Problems:
1. Diabetic status- Blood Sugar levels have to be controlled before operation and maintained thereafter.
2. Infection_ Now a days infection rates are very low due to surgical prophylaxis and clean OT environment.
On the basis of above points , I recommend surgical treatment ASAP.
Thanks for the question.Please feel free to ask any further query.
Surgery
Detailed Answer:
Hi, I am Dr Gopal Goel ,Orthopedic Surgeon.
You have Intertrochantric Fracture of the (L) hip.
Ejection fraction in left ventricle is 72% which is very good.
In my opinion you should undergo surgical fixation. Reasons
1. Near anatomical reduction can be achieved
2. Early mobilization- I start walking next day of surgery in my patients with support .
3.Chances of stiffness of hip and knee are remote due to early mobilization.
4. Disease of prolonged immobilization like venous embolism, bed sores ,chest infection are avoided.
Problems:
1. Diabetic status- Blood Sugar levels have to be controlled before operation and maintained thereafter.
2. Infection_ Now a days infection rates are very low due to surgical prophylaxis and clean OT environment.
On the basis of above points , I recommend surgical treatment ASAP.
Thanks for the question.Please feel free to ask any further query.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Above answer was peer-reviewed by :
Dr. Nagamani Ng
Answered by
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