The story of two elders: preventing osteoporosis

In the cold winter in the north, the elderly go out less often. Mr. Li, who is nearly 80 years old, and his wife, Mrs. Wang, who is 78 years old, planned to go out for a walk after lunch as usual. In their minds, they have a philosophy about healthy living, which is that they can't stay at home all day! So they set off hand in hand!

As soon as he turned the corner of the wall, Uncle Li slipped and fell to the ground. He immediately fell on his right buttocks and almost made Aunt Wang fall down! At this time, Uncle Li's right hip began to hurt severely, and he dared not move his right lower limbs! He said: Ouch, I'm afraid my hip bone is broken! The two old people, whose children were not around, were in big trouble! Seeing this, Aunt Wang hurried over to drag Uncle Li, but how could she, a thin old lady weighing only 80 or 90 kilograms, lift Uncle Li's weight of 150 to 60 kilograms!

Good fortune never comes alone, and misfortune never comes alone. At this time, Auntie Wang also groaned and fell to the ground. She felt a sharp pain in her back and waist, and she couldn't stand up! Fortunately, there were a lot of people on the street, and a kind passerby called 120 in time to send the two elderly people to the nearby Jikuang Hospital. After checking the X-ray, the two elders diagnosed that Uncle Li had an intertrochanteric fracture of the femur, and Auntie Wang had a compression fracture of the 12th thoracic vertebra. Both were admitted to the hospital. Fortunately, the local hospital has excellent medical technology and Uncle Li and Auntie Wang are in good physical condition. Soon the doctor performed surgery on the two elderly people. Uncle Li underwent closed reduction PFNA internal fixation surgery for the femur, and Auntie Wang underwent vertebroplasty for the fracture of the 12th thoracic vertebra. The operation was very timely and smooth, and the two elders recovered from the bed and got out of bed soon.

But at this time, the attending doctor told them about the cause of the traumatic fracture of the two elders, which is also the problem. The two elders both suffer from severe senile osteoporosis. Whether before or after surgery, especially after pathological fractures with osteoporosis, perioperative anti-osteoporosis drug treatment is particularly important. That is to strengthen the use of salmon calcitonin nasal spray, calcitriol, and calcium triple therapy. It can not only stimulate bone transport and promote calcium absorption, but also prevent bone destruction. Intensive treatment for four weeks and consolidation treatment for eight weeks. After surgery and postoperative standardized anti-osteoporosis treatment and medication, the two elders can go out for a walk hand in hand again. Under the guidance of the doctor, the two elders learned to treat their own anti-osteoporosis. Check bone density regularly, and pay attention to foot safety in rainy and snowy weather.

It seems that fracture injuries without clear trauma or minor external forces, especially medication after the perioperative period, are particularly important for the patient's recovery. Especially after the perimenopause, the bone mass of elderly women decreases year by year, and the incidence of pathological fractures of osteoporosis will increase greatly. The incidence of osteoporosis in elderly women is as high as 80%. Due to anatomical structure and biomechanics, the sites of osteoporosis are mostly central bone joints such as vertebrae and hip joints, and the unreasonable diet structure of some elderly people has aggravated the degree of osteoporosis.

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Professor Li Fulai

Jixi Jikuang Hospital, has been engaged in orthopedic work for more than 20 years. He has studied spinal surgery and trauma orthopedics at Beijing Jishuitan Hospital, and has studied spinal surgery at the Second Affiliated Hospital of Harbin Medical University. He is good at limb trauma fractures, lumbar disc herniation, lumbar spinal stenosis, lumbar spondylolisthesis, cervical spondylosis, cervical disc herniation, cervical spinal stenosis, ossification of the posterior longitudinal ligament, spinal tumors, diagnosis and treatment of spinal tuberculosis, comprehensive treatment of spinal trauma, spinal surgery, balloon dilatation and vertebroplasty for thoracolumbar compression fractures, sports rehabilitation for spinal and limb joint injuries, and health guidance for adolescent scoliosis. He has won a first prize for municipal science and technology progress and a second prize for municipal science and technology progress. He has presided over the establishment and completion of a scientific research project and published more than ten national papers.