What's the management of the aged patient?

A 78 ys. Female, suffering from 05/09/20 still today. Chief Complaints Rt. Hip joint fracture due to traumatic injury. Dated 05/09/20. History No anymore history. Vitals BP - 120/80 mm/hg. Puls - 74 bpm. SpO2 - 97% Physical Examination Body weight 36 kg. (Approx.) Investigations X-RAY of hip joint two photo copy attache below. Diagnosis Right hip joint fracture. Management Please suggest treatment and management with out surgery.

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I think in view of very less complications,open surgical reduction and followed by strict immobilization is advisable.

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Butterfly fracture rt neck femur Pt is aged and underweight but positive point is no comorbidies hence no further delay and advise for open surgical reduction and fixation

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Comminuted intertrochanteric fracture Unstable Non union Proximal migration of trochanter Cannot weight bear Need fixation Challenging case

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?Avascular necrosis

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Intertrochanteric # Rt;ideal would have been ORIF;As As now almost 3 M after the injury BK rotation plaster and rest for 3 M along with Vit.D3 60 KIU/wk for 12 Wks and good nursing care.Treat associated illness if any.

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Total hip arthroplasty . Prosthetics beneficial..

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