Concluded Case

Ageing process , both OA knees and Rt # of Neck of femur.

What is the best orthotics management for 90 years old female patient with head femur # ?

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Unlikely that she can walk on the deformed knee even if hip fracture unites. Comminuted intertrochanteric fracture Above knee skin traction for 6weeks By that time there will be some union and fracture will become painless Can make patient sit up etc after that Till then skin care under traction bandages Adequate padding over bony prominences Back care Watch out for sacral and heel pressure sore Tilt the patient regularly with the help of pillows to avoid continuous pressure to back Adequate fluids Watch for electrolyte imbalance Watch for hypostatic pneumonia: Chest physiotherapy Monitor urine output

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Unlikely that she can walk on the deformed knee even if hip fracture unites. Comminuted intertrochanteric fracture Above knee skin traction for 6weeks By that time there will be some union and fracture will become painless Can make patient sit up etc after that Till then skin care under traction bandages Adequate padding over bony prominences Back care Watch out for sacral and heel pressure sore Tilt the patient regularly with the help of pillows to avoid continuous pressure to back Adequate fluids Watch for electrolyte imbalance Watch for hypostatic pneumonia: Chest physiotherapy Monitor urine output

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OA Total knee replacement is advisable if Operation not possible?, bellow medication are helpful. Rx Galo ghan tab 1bd Ashwgandha tab 2bd Rasnadi guggul 2bd SH tab 1bd locally, mahanarayan oil 10min malish and 20min valuka sved and locally, bonny oil for temp. pain relief.

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Sir thr and tkr require... or else... as per age... we cant take risk

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