We've almost all had the experience of hearing that Elder XXX fell on the toilet and broke his bones, and then six months later, we hear about Elder XXX's death.

Why is it that the life expectancy of an elderly person is greatly attenuated after a fracture? Is it true that the life expectancy of every elderly person who has sustained a bone fracture will be attenuated? I will answer this query for you today.

Why do many elderly people tend to die within six months or one or two years whenever they suffer from fractures? This is mainly related to the complications caused by fractures.

As we know, due to the serious loss of calcium, the bones of the elderly are more "brittle" than those of the young, and are more likely to break after a fall. In particular, thighs, calves, arms and other limbs are more prone to fracture. In addition, the healing ability of the elderly is poorer, so the recovery time after a fracture is also longer than that of young people.

So when an older person has a fracture of the thigh, calf, femur, lumbar vertebrae, etc., they will inevitably need to stay in bed for a long period of time, and how long is this, three to six months. Then the question arises, after traveling in bed for so long, all kinds of complications come.

1.褥疮

When an elderly person with a fracture is bedridden for a long period of time, the skin on the back, buttocks, etc. is subjected to pressure for a long time, and ischemia and necrosis can occur, resulting in the formation of bedsores. Decubitus ulcers are very lethal and can cause great pain to the patient.

This has to do with the level of nursing care. Can children manage to turn the elderly several times a day? To be honest, very few children are able to turn the elderly every hour on a regular basis.

2. Pneumocystis carinii pneumonia

This is an important cause of death for bedridden elderly people with bone fractures. After lying for a long time, it is easy to lead to lung infection, coupled with the fact that the function of the organs of the elderly themselves has been weakened, so it is easy to cause systemic multi-organ failure and death.

Of course, medical technology has now advanced, and in many cases, surgery is used to treat fractures, so that elderly people with fractures can get out of bed at an early stage, thus minimizing the emergence of complications. In addition, if attention is paid to care, it is also possible to help elderly people with fractures to pass through the ghost gate.

Older people as they get older, the loss of calcium in the body will be faster, so it leads to a lower hardness of the bones, very easy to fracture, sometimes due to external impact leading to fracture, and even sometimes there is no external force, a sneeze can lead to the appearance of fracture.

Is it true that some people say that the elderly usually don't live long after they break a bone?

Scientific studies have found that older people do live longer after a fracture, with 12-17% of hip fracture patients dying within the first year, doubling the probability of death from prolonged bed rest.So there is a scientific basis, not a superstition, for saying that the elderly do not usually live long after a fracture.

Why is it that older people don't usually live long after breaking a bone?

First of all, the elderly fracture refers to the fracture of the elderly over 70 or 80 years old, the elderly fracture probability is the highest hip fracture and lumbar compression fracture, lumbar compression fracture will not affect the patient's mobility, the patient's mobility is the greatest impact of hip fracture, hip fracture of the quality of life of the elderly has a greater impact, and the most able to influence the life of the elderly safety.

After a hip fracture, many older people are no longer able to undergo surgical treatment, and can only take conservative treatment, which requires a longer recovery time, in which case care is very important.

But too many of the elderly themselves do not have any protection, no health insurance and pension, after the fracture of the burden of care falls on the children's body, long time sick bed without filial son, many elderly people will be in a bad mood, bad mood body recovery will be very slow, not to mention that long-term bedridden may produce a lot of complications, such as decubitus ulcers, pneumonia, venous thrombosis of the lower extremities, urinary tract infections, constipation, and so on.

In fact, many complications may jeopardize the lives of bedridden elderly people. For example, constipation may induce serious diseases such as cerebral infarction and cerebral hemorrhage, which threaten the lives of the elderly.

Do all older people not live long after a fracture?

However, not all elderly people will not live long after a fracture, some elderly people are still in relatively good health, and if they take timely surgical treatment, they can soon return to normal, and can walk normally, and their life in their later years will not be affected.

Sometimes often meet some people consulting that the elderly at home after a fall or car accident fracture, considering the age of the older, surgery is not a great deal of trauma hit rather than conservative survival of a long time, and even some of the fracture of the old man does not do surgery will soon die. Of course, the older the risk of surgery is also the greater, put the previous medical level is not developed when many elderly people fracture on the choice of conservative or external ointment, then you need a long period of bed rest, injury one hundred days, then the most basic to be bedridden for nearly three months, in the process of the old man's own age, the basis of the disease is more than one, it is very easy to occur lung infections, decubitus ulcers and lower limb deep vein thrombosis, more serious Thrombus fall behind the formation of pulmonary embolism, death may occur at any time, which is the reason why many fracture elderly survival time is not long, but now many elderly people will choose surgical treatment, postoperative bedridden time is short, you can return to the movement as early as possible, and the trauma is getting smaller and smaller, but instead the more you live longer.

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There is some scientific truth to this statement and it was indeed the case in the old days. The good thing is, with the advancement of medicine, this phenomenon has improved significantly today.

Why, in the past, did elderly people not live as long when they broke their bones?

1. Before, orthopedics didn't work

In the past, the entire orthopedic department was far less developed than it is today, such as treatment concepts, surgical methods, surgical equipment and materials.

This makes many fractures in the elderly "unwilling to operate", "can not operate", "do not dare to operate", and choose conservative immobilization treatment.

Conservative treatment may sound good without surgery. However, it means that the patient is required to stay in bed for a long period of time until the fracture heals. Prolonged bed rest can be too much for a young person, let alone an older person.

(1) Prolonged bed rest after a fracture in the elderly can have serious physiological effects.

Elderly people who are bedridden usually develop fatal respiratory or urinary tract infections within a few weeks. In addition, after a fracture, the blood itself is easily coagulated, and prolonged bed rest makes it very easy to form a deep vein thrombosis, which can lead to a fatal "pulmonary embolism".

(2) Prolonged bed rest after a fracture is bound to have an extremely serious negative psychological impact on the elderly.

The pain caused by fractures, prolonged immobilization in bed, inability to take care of oneself, complete dependence on care, chronic insomnia, etc., will actually cause extremely serious negative psychological impacts on the elderly. Elderly fracture patients will soon develop anxiety and depression, lose hope in their future life, and see themselves as a burden to their family members.

2. Previously, other relevant internal medicine departments could not

Previously, respiratory, cardiology, ICU and other related internal medicine departments were far less developed than they are today.

Elderly people's bodies are inherently failing and they have a bunch of underlying conditions themselves: such as high blood pressure and diabetes. An unexpected fracture can easily be the last straw that breaks the camel's back. Coupled with being bedridden, a series of serious complications such as multi-systemic infections and bedsores, as mentioned before, can occur even more rapidly. A strong internal medicine system is needed to support the patient, otherwise, the whole body can easily form an avalanche and collapse at any time.

Why is it that today, seniors with broken bones don't have to worry about this anymore?

In fact, the reason corresponds to the above. With the continuous development of orthopaedics, the treatment concept of fracture is rapidly updated, and the corresponding brand-new surgical methods, surgical equipments and internal fixation prosthesis materials are vigorously developed, which makes a lot of the previous fracture without the rule of law can be cured, and a lot of the previous dare not be able to do the surgery can be operated nowadays.

Together with the simultaneous development of anesthesia, respiratory, cardiology, ICU and other related departments, the perioperative life support for the elderly has now made us as physicians very proud. And with the enhancement of family and social care support for the elderly. Nowadays, the threat of bone fracture to the life of the elderly is far less than before.

In the past, for example, the most common type of hip fracture among the elderly was called the "last fracture" because once it occurred, because it was inoperable, the elderly could not get back on their feet again, and even died soon afterward because of various complications that occurred during prolonged periods of being bedridden.

And today, these types of fractures are very easy to treat, with minimally invasive surgery done in as little as half an hour. Within a few days of the surgery, you can be out on the floor. The improvement this brings is dramatic.

Finally, as an orthopaedic surgeon, I would like to emphasize once again that for fractures that affect the elderly's ability to get out of bed, such as fractures of the spine, hips, thighs, and so on, we must strive for surgery as much as possible, if conditions permit. This is because the elderly cannot afford to stay in bed for long periods of time.

We have to wrestle with the idea of giving our aged ones a chance to get back on their feet after a broken bone. Otherwise, it's likely they'll never get another chance.

As an orthopedic surgeon, I think this issue should be looked at dialectically:1. If it is limited to minor fractures or fractures of the upper limbs that do not affect the activities in bed, it will not have much impact on the life expectancy of the elderly; 2. For serious fractures of the spine and the lower limbs, the answer would have been yes a few years ago. However, with the improvement of medical standards and various minimally invasive techniques, there are many surgeries that were not even thought of before, but have now become possible.

Take thoracolumbar compression fracture as an example: for patients hospitalized in the department, for the elderly over 60 years old or for women who have stopped menstruating for more than 10 years, we will suggest to check a bone density, the purpose is to understand the situation of osteoporosis in the elderly, most of them have osteoporosis, and we will suggest to carry out the relevant treatments for the patients who have serious osteoporosis. Especially for people in the south, winter rainy weather occupies most of the time, sunshine is scarce, osteoporosis is highly prevalent. Bone brittleness increases in the elderly, and minor trauma, or even bending over to pick something up, may cause osteoporotic compression fractures of the thoracolumbar spine.

In the past, thoracolumbar spine compression fracture was associated with severe pain in the lower back, especially when changing positions, such as turning over and getting up, which required prolonged bed rest and seriously affected the quality of life. In addition to the patient's age, surgical treatment is risky and difficult, and the patient still needs to stay in bed for a long period of time after the surgery, various complications follow, and the rate of death and disability is high.

1.褥疮One of the most common complications brought about by prolonged bed rest, pressure on bony protruding parts of the limbs, such as the sacrococcygeal region and the heel of the foot, can lead to ischemia and even necrotic infection and the formation of decubitus ulcers in the course of time.

2. Pneumocystis carinii pneumoniaLong time lying in bed and reduced exercise can cause weakened respiratory function, reduced lung capacity, sputum slowly accumulates and is not easy to cough out, which in turn leads to pneumonia. Therefore, it is often seen in the clinic that the nurse will turn the patient over and pat the back every day, all in order to try to avoid the above two complications.

3. Pulmonary embolismProlonged bed rest can also slow down blood circulation and lead to the formation of venous thrombosis, especially in the lower limbs, and once the embolus is squeezed and dislodged, it can cause fatal risks such as pulmonary embolism. Therefore, for postoperative patients, no matter how old they are, we will encourage them to move their lower limbs more often, and for those who can't take the initiative to move their limbs, their family members should also cooperate with the massage.

And now, the emergence of percutaneous vertebroplasty (PVP, PKP) has greatly reduced the risk of compression fracture surgery and postoperative risk: the operation is local anesthesia, patients can stop at any time if they have any discomfort, the whole operation time is about half an hour, the postoperative effect is obvious, and the next day you can move around freely and be discharged from the hospital.

As a result, elderly fractures no longer affect life expectancy as much as they used to, as long as they are not particularly severe and inoperable!

"Happy Little Dawgs" has the answer for you. Joyful Concerns

Is it true that when an elderly person breaks a bone, they generally don't live as long?

Listen to my collection of two cases, one is more than 70 years old, usually in good health, there is no underlying disease, tripped and fell when walking, there is a fracture of the neck of the femur, to the hospital after a comprehensive examination, the body indicators are normal, do surgery, smooth recovery, still adhere to the daily fitness.

There is another patient is more than 60 years old, is the sequelae of cerebral infarction, one side of the limb inactivity, in the toilet, fell, admitted to the hospital for examination, the patient hypertension, diabetes mellitus, coronary artery disease, cardiac insufficiency, the weather changes often cough. Considering the patient's physical condition, the doctor suggested conservative treatment, but the patient himself and his family insisted on surgery, resulting in postoperative lung infection, heart failure did not save.

The underlying reason why the 70 majority of surgeries are fine, but the 60-somethings don't hold up, is still determined by the patient's physical fitness and health.

But people are getting older, osteoporosis, physical function decline, stumbling easily fracture, if the fracture body after surgery, easy to have complications, such as cardiovascular and cerebral vascular disease, lung infection, bedsores and so on, these will affect the patient's life expectancy.

But if the patient has always been in good health and usually pays attention to his health, he can still have the same body as a young man despite his age, and if he doesn't pay attention, a young man's body can still be very poor.

Therefore, no matter young or old, we should eat a healthy diet, live a regular life, exercise properly, especially the elderly, have regular medical checkups, and listen to the doctor's regular medication if you are sick.

Not all fractures in the elderly affect life expectancy!

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My grandmother, who is in her seventies, accidentally fell down the stairs a year ago and fractured her back. At that time, the doctor said that he would die if he didn't have the surgery and be permanently paralyzed if he did. We opted for the surgery, which was also successful, and after three months of recuperation at home, his old man was able to get off the ground, lean on a stick by himself, and walk slowly. Seven or eight months later, despite our objections, he went back to herding donkeys and doing farm work. The doctor was shocked when he went for a checkup. Now Grandma is in good health and in good spirits. Everyone's physical condition is different. When you are old, your bones lack calcium and are more fragile. Healing is slow. For some old people who have only half a life left, a fracture is undoubtedly an aggravating circumstance. When the body is weak, it is difficult to recover. All in all, it is still a case by case basis!

This question is not rigorous. It is certainly not realistic to think that a wrist fracture, a forearm fracture, or even a more minor finger fracture will kill an elderly person. Generally speaking, the real impact on the life of the elderly fracture is usually the spine, hip and lower limbs of some serious fractures, especially hip fracture, once not given proper treatment, the fracture of one year after the chance of survival is only 50%, so also known as "the last fracture of life".

The key reason why spinal and hip fractures affect the life expectancy of the elderly is that they can make them bedridden, and prolonged bedriddenness can lead to serious complications for the elderly, of which the three most common areBlood clots, intrapulmonary infections and bedsores...... Any one of these three problems can be life-threatening for older people when they become serious.

Why do these three things happen?

Once the elderly fracture must be bedridden for a long time, the whole body will have a significant decline in function, blood flow will become significantly slower, and itself the elderly, most of the blood vessels there are some of the original problem, such as atherosclerosis of the veins, blood vessel stenosis. After the blood flow slows down, the risk of thrombosis will be aggravated, especially venous thrombosis, asVenous thrombus is back to the heart, if there is a thrombus of the embolus dislodged, then the embolus dislodged embolus, with the blood flow back to the heart will be induced by a heart attack, if back to the brain will be induced by a cerebral infarction, if back to the lungs, there will be a pulmonary infarction, which are fatal diseases。

Why do bedridden older adults develop intrapulmonary infections?? This is due to a long time in bed, the lungs will have body fluids, oozing deposited to the bottom of the lungs, and the lungs itself is an organ connected with the outside world, these fluids and oozing will lead to the invasion of bacteria, inducing intrapulmonary infections. If some older people already have aging lungs, this intrapulmonary infection may worsen, and prolonged infections can lead to fever and loss of appetite, which in time can lead to malignant disease in older people.

What are bedsores?What is it? It is that when we lie down flat, due to the stimulation of weight, some parts of the body where the bones are more prominent, such as the heels, our bilateral hips, the sacrococcygeal area, and the back, will become necrotic due to the prolonged pressure that leads to the lack of blood flow. If the area is small it can still be dealt with, but as the elderly are physically weaker themselves, it is very easy for this bedsore to become widespread, and secondary infections are likely to occur, eventually starting with the bedsore.

So is it true that if you turn the question of the subject into some of the fractures that cause the elderly to be bedridden can shorten their lives? The answer is yes, this is true.

Therefore, in the past, if an elderly person is in poorer health and older, once a fracture occurs, we try our best to treat it conservatively, but now the concept has changed a lot.In the case of bed-ridden fractures, it is advisable to take the risk of surgical treatment to enable the elderly to get out of bed early.In order to avoid a wide range of complications caused by being bedridden, which can shorten the life expectancy of the elderly. And with the currentRapidly changing technological developments in rehabilitation therapyMany elderly people can walk on the ground about one week after hip fracture surgery, and after one month or so, they can carry out some daily activities to achieve the state of self-care.

If you pay attention to the relevant reports on the network, you will find that many hospitals around the country, are for the elderly over 90 years of age for hip fracture femoral head replacement surgery, and obtained good surgical results, although we will inevitably see some negative news and some elderly people have done the surgery appeared in the case of accidents, but the overall point of view, the emergence of such a problem is still a surgical treatment of the approach, the It is the elderly who will get the most out of it.

Here is also a bit of advice for the young as well as the middle-aged. We all know that older people are prone to fractures, due to the fact that they develop heavier osteoporosis as they age.So what can middle-aged people and young adults do to prevent osteoporosis in old age?In fact, the best thing to do is to replenish our bones to a great extent when osteoporosis is not yet present. Therefore, it is recommended that young people and middle-aged people should exercise, and it is best to do some weight-bearing exercises, such as jogging and lifting dumbbells. It is recommended to always increase the income of calcium, especially some calcium that the body can easily absorb, such as fresh milk yogurt. Usually do not stay in the house for a long time, must actively participate in outdoor activities. Try not to be addicted to alcohol and smoking, a healthy state of life will bring us great bones, so that when we enter our old age, our bones will not become so brittle and easy to fracture, and we will have a better, or especially good old age.

The above is the answer to the question, if you have other doubts you can leave a comment below to discuss.

I am Xie Xinhui, who insists on using simple language to explain the knowledge of complex diseases, it is not easy to code, if you agree with my point of view, please help to point out a concern or click a like it, thank you!

I remember my grandfather was also due to fall a foot fracture, pulled to the hospital doctor said don't look back, prepare for the aftermath of it, at that time don't believe it, because grandpa's health is very good, no disease, that day also went to the village head of the water, fell and fractured his leg. Later returned home within a few days, Grandpa went away, eighty years old or so.

Grandma that year more than ninety years old, sister-in-law pushed a tricycle to send the child, put the tricycle on the door, grandmother on the stick to sit on the tricycle, but she fell to the ground to the crotch of the comminuted fracture, go to the hospital doctor said that age can not be operated, go home to conservative treatment it. Buy the sound paste paste, but in the end not cured, lying in bed, grandmother at first understand, and then confused, sleep all day, her old man is able to eat and drink, so after seven or eight years, almost live to a hundred years old. If she hadn't fallen, she would have lived to be over a hundred years old.

The old man is most afraid of falling in bed after lying still, so pay special attention to anti-slip, age is not a fluke, is that young heart can, do things walking to be more careful.

May all the elderly in the world have a healthy body.

I support the notion that the elderly don't usually live long after a broken bone, why? I hate that I didn't know that back then.

I'm not a medical expert so I'm not responsible for the medical principles I've stated, I'm simply stating individual cases that have happened to my family in the hope that we can learn from them.

A few years ago, my grandmother was very old, over 80, but still in good health, roughly sort of deaf and able to cook for her family, and her old man loved to cook for her family and watch her children and grandchildren eat her cooking.

Her old man has a bad habit, sitting stool sitting bed like to sit very shallow a side. One morning, found her sitting on the edge of the bed can not move, it turned out to be early in the morning up to sit on the edge of the bed slipped to the ground, the elderly osteoporosis may be, on the thigh bone fracture, both thigh bone fracture.

Maybe the action is light, not too painful, the old man did not want to bother others, so they have been sitting on the edge of the bed, and by the time the family found out it has been a few hours, rushed to the hospital.

The situation of course called for surgery, orthopedic, but the doctor is said to have politely hinted that perhaps it would be better not to do it, but unfortunately no one present at the time understood it very well or took the doctor's hints, and the doctor is not a very good role to play, and is in trouble at every turn, so it was prepared for an emergency operation.

The surgery generally went well, but almost the same day it was done, my grandmother passed away, and those of you who know anything about medicine should be able to guess why by this point.

Yeah, multiple organ failure.

The old man's body is not strong enough to withstand this kind of major surgery, and although the operation went well, it was difficult to survive the post-operative recovery.

Later, the doctor told us that in this case, if it is cautiously bandaged and no such major operation is done, the old man should be able to live longer in a wheelchair.

Incapacitated eyes.

Her old man's death was partly due to our ignorance, ah, it breaks my heart to think of it.