Pablo Díaz de Rada, Specialist in Orthopedic Surgery and Traumatology, Clínica de la Universidad de Navarra, Spain.
Speed and support
The first question asked by the relatives of patients with a hip fracture is: Did he break his hip and fall or did the fall cause the fracture? In the King's case, according to Dr. Angel Vilamor, who operated on him, it was a trip down a staircase. However, what is important is not the origin of the fracture but the fact that we are dealing with a patient, usually elderly, probably with various previous illnesses, bedridden, who requires a quick solution. If we delay the treatment -which in the vast majority of cases must be surgical-, the usual previous physical deterioration can be aggravated as a consequence of the complications that a prolonged wait will bring with it.
Faced with the usual dilemma of placing a hip prosthesis or a reconstruction of the hip by means of pins or screws and plates, we have opted for the former, given the triple fracture suffered in the bone and the characteristics of the same, according to Dr. Vilamor. The goal of the treatment should always be to mobilize the patient as soon as possible. For this reason, as important as early surgical treatment is the postoperative period. Thus, the financial aid of family members, and eventually rehabilitation teams, are fundamental. In ideal conditions, the patient should be out of bed the day after surgery and start walking, progressively with less financial aid, two or three days after surgery. The recovery period until the patient is completely autonomous is variable and can last up to three months. Without forgetting that in some cases of patients in poor previous condition, complete recovery is not possible. We are therefore faced with a potentially serious pathology, which requires early action by the medical teams as well as financial aid of the patient's environment in the postoperative period.