Many Diseases Increase the Risks of Hip Fracture Surgery

Parkinson's disease, osteoarthritis, rheumatic diseases, alcoholism and mental health disorders increase the risk of surgical complications after a hip fracture surgery, a new Finnish study analysing nationwide registers finds. 4.6% of all hip surgery patients and 10% of total hip replacement surgery patients experienced surgical complications within three months following their surgery.

The study was carried out in collaboration between researchers from the University of Eastern Finland , Kuopio University Hospital, the University of Helsinki and the Finnish National Institute for Health and Welfare.

Approximately 7,000 hip fractures are treated in Finland every year, and the number is expected to grow as the population ages. Post-operative surgical complications weaken the outcomes of treatment and lead to increased costs.

The researchers used the Finnish Performance, Effectiveness and Cost of Treatment (PERFECT) database to explore the prevalence of and factors contributing to post-operative surgical complications leading to hospital readmission in hip surgery patients. Surgical complications, such as bone fractures, haemorrhages, infections and complications associated with implants occurring within three months after the hip fracture surgery, were included in the analysis. The data included 68,800 hip fracture patients, i.e. all over 50-year-old patients who had their first hip fracture in Finland in 1999-2011.

The analysis shows that the treatment of hip fracture is associated with a significant risk of surgical complications. 4.6% of patients experienced surgical complications within three months following their surgery. According to the researchers, the high prevalence of complications can largely be explained by the high age of patients and their comorbidities.

The risk of surgical complications was elevated in patients with osteoarthritis, Parkinson's disease, a rheumatic disease, alcohol dependence, depression or a psychotic disorder.

"Special attention needs to be paid to the treatment of hip fracture in patients who suffer from these diseases," says orthopaedic surgeon Tero Yli-Kyyny, the first author of the article.

Total hip replacement surgery was associated with more surgical complications than other treatment methods, with 10% of total hip replacement surgery patients experiencing a complication. The risk of complications also grew if surgery was delayed.

"For a hip fracture patient, a total hip replacement results in an excellent functional outcome. However, there are surprisingly many complications associated with its use. It seems that careful selection of patients is required when treating their hip fracture with a total hip replacement," Professor Heikki Kröger from the University of Eastern Finland says.

The study was the first nationwide register-based study to focus on early post-operative complications in the treatment of hip fracture. Similar observations of the prevalence of complications have earlier been made in hospital-specific studies. The large set of data used in the study allowed for entirely new observations relating to, e.g., the increased risk of complications in people with Parkinson's disease.

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A Knee Replacement Surgery Performed on a 100 Years Old Lady Patient at Smt. S.R. Mehta & Sir K.P. Cardiac Institute

Source : businesswireindia.com

When does a person become old? This is a philosophical question and when this question was put to Chanchalben Sukhlal Shah who was born on 17th of Feb. 1919; she said, “When you dwell only in the past - that is old.” She came to meet Dr. Nilen Shah at S. R. Mehta Hospital; 3 weeks ago; limping badly as her knees were hurting. This was the first time Dr. Shah was examining a 100-year-old patient with knee pain, was talking to her and her relatives; explaining that to relieve her pain a knee replacement would be required. Without batting an eyelid, Chanchalben asked when can the surgery be done and whether the doctor would do both the knees together. Dr. Shah had to explain that considering the circumstances, it would be best only to operate on the more painful - the left side.

The left knee replacement surgery on Chanchalben at 100 years was duly carried out at S. R. Mehta Hospital at King’s Circle, Mumbai by Dr. Nilen Shah and his team recently. Obviously, extra precautions were taken to ensure that Chanchalben’s surgery as well her recovery was smooth and painless. She was so happy with the surgery that she was again demanding the other side to be operated as soon as possible but Dr. Shah has insisted that she waits at least for 6 weeks before the other side is operated.

We asked Chanchalben and her family as to why they chose to go in for a knee replacement when she was 100 years old. They replied that the pain was increasing and was making her life miserable. We knew that surgery was the answer. We had complete faith in the doctor and the institute as we knew of several patients operated by him successfully at S. R. Mehta Hospital and when we met Dr. Nilen Shah, we knew that our faith was not misplaced as he talked to us like a friend and guided us in the right direction.

We asked Dr. Nilen Shah as to what the reason for this high rate of success was. Dr. Nilen Shah explained that each operation is a controlled invasion on the body to achieve a specific aim. In Knee replacement, the aim is to remove the diseased parts of the bone and implant a new advanced joint. If the aim could be achieved, with the minimum of invasion on the body, the body would recover very fast and relatively painlessly. Dr. Nilen Shah has been the pioneer of a technique called Minisubvastus approach for Knee Replacements and has close to 10000 knees operated by this method. In this technique, as the muscle is not cut to implant the new knee joint, the recovery is faster, the need for physiotherapy is minimized and most importantly, the pain of the operation is much less. With the availability of new joints, the flexibility of the implant and thereby the knee has also improved. In Chanchalben’s case, the Maxx Freedom Knee was utilized which is a High flex knee, which conserves bone and accommodates high flexion by a unique 7 radius curvature on the femoral implant.

About Smt. S.R. Mehta & Sir K. P. Cardiac Institute

Smt. S.R. Mehta & Sir K. P. Cardiac Institute was started in May 1999 under the Chairmanship of late Shri Manubhai C. Shah, a well -known city industrialist and philanthropist. The idea was to provide a world-class, safe, quality healthcare in cardiology, and cardiac surgery at affordable rates to members of all strata of society. After running the cardiac program successfully for a few years, late Manubhai decided to add Orthopedic services to the Hospital as well. Soon the Orthopedic department and especially the Knee Replacement work at the Hospital which was also focused on quality, safety and affordability, picked up and currently the Hospital caters to more than 2800 coronary angiographies/angioplasties, more than 800 cardiac bypass surgeries and more than 900 knee replacements every year.

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Get Best Hospitals in India for Ethiopian Patients; treatment guaranteed

Overview:

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