Treatment cost of intertrochanteric fracture of left femur in the elderly

1, intertrochanteric fractures of femur mostly occur in patients over 70 years old, so 70 years old is not too old. If you are in good health, there are no internal diseases that affect the operation, and the economic conditions are not particularly bad, you should decisively choose surgery.

2. This kind of fracture, including femoral neck fracture, has been treated conservatively in the past twenty or thirty years, dragging in bed, but it will take three or four months. This is only an advantage for non-displaced fractures, and there is still a great risk of fracture nonunion for those who have been displaced. Although the intertrochanteric blood supply is abundant, the complications caused by long-term bed rest are particularly emphasized: bedsore, pulmonary urinary tract infection, decreased cardiopulmonary function, decreased physical function, and normal young people lying down. In addition, bed traction can not guarantee the stability of fracture end. I can't guarantee that there will be obvious calluses in 40 days. It is unscientific to say that 10 day can be cured by weight-bearing activities.

3. In 1960s, the mortality rate of traction therapy in the United States was 34.6%, and it was higher in China.

Therefore, non-surgical treatment has been abandoned, and its treatment principle is to advocate strong internal fixation and early activities of patients. Medical complications are less and lighter than non-surgical treatment.

4. Surgical treatment is recommended for both stable and unstable fractures, and the difference lies in the choice of internal fixation.

At present, lateral plate (dynamic hip DHS), locking plate, anatomical plate, intramedullary nail and even hip replacement are the most widely used in China. According to the type of fracture, choose the appropriate internal fixation, provide a stable environment for the fracture end, plus its own rich blood circulation, and recover quickly.

5. As for postoperative recovery, the theory of developed countries in Britain and America is to allow you to start, go to the fields or even bear the burden completely on the same day. This is generally not allowed in China. On the one hand, according to the classification of fractures and the selection of internal fixators, on the other hand, China is conservative to avoid medical disputes. It is suggested that patients can help their crutches to bear part of the load in 2 to 3 months, step by step, until they are fully loaded, during which more patients should exercise muscle strength.

6. If you choose surgery,

Then the general thing is to improve the relevant examination, traction (pulling soft tissue to facilitate surgery), surgery, routine anti-infection and postoperative functional exercise after admission.

7. With regard to cost, the cost of instruments varies greatly due to the different domestic import prices of different manufacturers. In addition to intramedullary nails, the quality of domestic steel plates has actually been greatly improved, but the price is not low. The price of long steel plate is between 65,438+00,000-65,438+05,000, but the bidding price of hospitals in different places is different. Plus other hospitalization expenses, the total cost is about 30,000 yuan. If there is medical insurance,

This is communicated with the attending doctor, and they can all estimate a rough estimate.

Comminuted fracture, or choose surgery.