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Orthopedic opinion
Sir pls find below xray for femar neck fracture and patient age is 70+ plus having copd
Should i go for hip replacement or bipolar or screw fixation
Pls advise the best treatment in this case
Answers (4)
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Bipolar
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Dr. Ravikumar Chandulal Makadia
Orthopedic surgeon
6 yrs exp
Ahmedabad
Go for cemented bipolar
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Screw fixation at 70 yrs is not at all indicated. Your choices are between bipolar or total hip. If the patient is moderate build, community ambulator and active then total hip would be the choice. But if patient is frail and only home ambulator the bipolar would be better.
Moreover copd is another factor in support of bipolar.
Nowadays bipolar implants are coming good which last long.
Next Steps
visit a hospital with icu setup for surgery. do not delay. earlier the surgery better is the prognosis
Health Tips
do ankle pumps to prevent deep vein thrombosis. do incentive spirometry and chest physiotherapy. bed side turning to prevent bed sore
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Dr. Vilas P Chavan
Orthopedic surgeon
9 yrs exp
Pune
Bipolar
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.