Why do elderly people easily cause hip fractures? Muscle strength drops. Under natural conditions, after the age of 30, most body muscle content decreases by 1% every year. That is to say, if you don't do technical training at ordinary times, at the age of 70, your muscle content is only 60% of that at the age of 30, and with the decrease of body muscle mass, it is very, very good that the overall condition of your body muscle can guarantee 30% at the peak. Isn't it terrible? So muscle exercise is very important!
Balance ability is reduced. It is the result of natural aging of the body and is also directly related to the decline of muscle strength. Poor balance, of course, easy to fall.
The ability to reflect is reduced. The elderly are slow to react, unable to react and adjust quickly when their bodies are out of balance, and easy to fall.
The extensibility of musculoskeletal system is improved. With the increase of age, osteoporosis is inevitable, especially for older women. Moreover, the composition of bone collagen is reduced, and the musculoskeletal plasticity is missing. The general trend is that even a slight external force may cause fractures.
Hip bone is the most widely contacted part after falling, while femur and trochanteric bone lack hyperplasia, which is easy to cause fractures.
How to deal with it? Elderly people are prone to hip fractures, and preventive measures include active avoidance and passive avoidance.
Active avoidance
Balance ability training. Use various preventive measures to train balance ability, and use various mechanical equipment or passers-by to train leveling ability, such as standing on one leg, bowling, balance trainer, etc.
Muscle strength training. After the age of 30, the body muscles show a downward trend in quality and quantity, and training immediately can effectively alleviate this decline. Aerobic exercises that the elderly often use to lose weight, such as brisk walking, are mostly ineffective in this case. The solution is to increase muscle and reduce fat as much as possible, that is, to train the kinetic energy of body muscles, which can not only prevent falling, but also delay aging.
Coordination ability exercise. Take the initiative to exercise and improve the coordination and embodiment of the body. There are also many ways to show your ability in training, not only comprehensive physical coordination training, but also coordination training of upper and lower limbs, eyes and hands. The simpler one is jogging training. Many people probably think that they are too old to run, so they wear walking and exercise. The objectivity of the fact is that even if you run slower than you walk, it is very helpful to the coordination of your body. Therefore, it is suggested that the elderly should give up hiking and jog instead.
Improve bone. It includes two aspects, namely, improving bone density and collagen composition of bone. You can refer to the related content: calcium, zinc and iron supplement ≠ treatment of osteoporosis, are you clear? Will you get osteoporosis? Positive measures to prevent falls are closely related. Exercise and fitness can improve hyperosteogeny, muscle kinetic energy, coordination and balance. The improvement of balance ability also lies in the improvement of body muscle kinetic energy, body coordination ability and embodiment ability.
Passive avoidance
Being in a passive avoidance state is mainly to upgrade the integration ability of the geographical environment where the elderly live, such as the upgrade of beds, toilets, seats, floors and other anti-falls.
After the hip fracture of the elderly, the family members are likely to fully consider the safety factors and choose conservative treatment to let the patients rest in bed. Although this is well-intentioned, the patient may suffer more. Because the fracture site is different, if the patient stays in bed for a long time, all activities of daily life, eating, drinking and sleeping must be carried out in bed, which is easy to cause a series of complications, but it is easy to aggravate the symptoms.
If you choose surgery at this time, you may have missed the best opportunity. Therefore, generally speaking, patients are advised to choose the second method instead of conservative treatment, and to have surgery as soon as possible, the sooner the better.
Naturally, the specific choice of treatment methods should also fully consider various fields, such as the life expectancy of patients, the development norms of hometown and city, etc. The way that suits you is the best.
Generally speaking, hip hyperosteogeny is a very serious difficulty for the elderly. The reason has been explained in detail earlier. After hyperosteogeny, whether to choose internal fixation or joint replacement must be distinguished according to its actual physical condition. ?