78 year old dad fell and hip fracture and has parkinton, help!!!

My dad is 78 and has Parkinson. He also developed 老年癡呆 recently. My sister said he is pretty clear during the day but at night he may say something nobody understand.

He fell and broke his hip 5 days ago. 

We have to make decision if he should do surgery or not to fix his hip

Was told 
(1) he is 80 years old, may not be easy to sustain the big surgery, and after surgery complicates such as infections ...
 
(2) surgery has risk such as 血栓. he has high blood pressure.

(3) anesthesia will make his  老年癡呆 worse. Under his 老年癡呆, he may do something that will hurt his hip fix easily.

(4) Parkinson disease makes the hip fix dislocation easier. That means he will need to receive another surgery.

What is the consequences for not doing surgery operation?

(1) not able to move, will get weaker and weaker quickly
(2) pain ?
(3) lung problem?

Any help?

he wants to do operation at the first, he wants to walk himself then he changes his mind not to do it in the afternoon. he may be reverse his decision. 

Thanks

所有跟帖： 

• 股骨還是股骨頭骨折了? -WarmHerz- ♂ (0 bytes) () 12/29/2016 postreply 08:57:41

• 右股骨頸骨折 -guest917d- ♀ (33 bytes) () 12/29/2016 postreply 09:17:11

• 論壇裏的薛成醫生的骨科出身。您能把片子貼上來嗎? -WarmHerz- ♂ (0 bytes) () 12/29/2016 postreply 09:35:45

• 我沒有。 -guest917d- ♀ (0 bytes) () 12/29/2016 postreply 10:41:01

• 隻有這個 -guest917d- ♀ (87 bytes) () 12/29/2016 postreply 10:51:47

• What is the consequences of not fixing it? -guest917d- ♀ (700 bytes) () 12/29/2016 postreply 09:21:41

• 我老公的外婆92歲那年股骨摔骨裂，做手術換了。但是至今不能再下床。 -菲媽媽- ♀ (139 bytes) () 12/29/2016 postreply 09:26:45

• 手術，越快越好！越簡單越好。不求愈合，但求能坐起，甚至起床活動。60年代，骨科界曾經有大宗調查，老年人髖部骨折，絕大多數在一年內 -薛成- ♂ (338 bytes) () 12/29/2016 postreply 09:52:30

• 問薛醫生好。她在這個問題之後，又開了一貼，內有更多信息。請參閱。 -WarmHerz- ♂ (0 bytes) () 12/29/2016 postreply 10:35:15

• thanks -guest917d- ♀ (0 bytes) () 12/29/2016 postreply 10:40:33

• What is the consequences of not fixing it? -guest917d- ♀ (1136 bytes) () 12/29/2016 postreply 10:43:40

• 患者是嵌插性骨折，相對位置固定，可能不會非常疼痛，甚至可以少許活動。可是一個不當心，嵌插分離就徹底移位，就不能活動了。不治療的後 -薛成- ♂ (362 bytes) () 12/29/2016 postreply 11:09:40

• thanks -guest917d- ♀ (0 bytes) () 12/29/2016 postreply 11:53:21

• 他現在能坐起來， -guest917d- ♀ (417 bytes) () 12/29/2016 postreply 12:20:36

• 是。嵌插骨折，就是骨折斷端插進骨質裏，相對穩定了。但是有可能移位。 -薛成- ♂ (0 bytes) () 12/29/2016 postreply 12:28:19

• 移位可能性多高？比如， 幾個月內？ -guest917d- ♀ (373 bytes) () 12/29/2016 postreply 12:55:32

• 很高，可以發生在任何時候。你想想，就那一點點尖斜插入骨髓腔，下肢這麽長的杠杆。這事別抱僥幸。 -薛成- ♂ (0 bytes) () 12/29/2016 postreply 14:05:39

• 醫生查房說風險太大， 不給做，麽辦？ -guest917d- ♀ (202 bytes) () 12/29/2016 postreply 17:54:55

• 他十月做小腸氣手術， 全麻 -guest917d- ♀ (185 bytes) () 12/29/2016 postreply 18:26:14

• update -guest917d- ♀ (506 bytes) () 12/29/2016 postreply 22:17:04

• 匯報下，上次請教過的國內老人股脛骨骨折問題，手術後恢複良好，目前扶著可以走動 -胖獺- ♀ (74 bytes) () 12/29/2016 postreply 10:59:53

• thanks -guest917d- ♀ (0 bytes) () 12/29/2016 postreply 11:56:08

• 78 year old dad fell and hip fracture and has parkinton, help!!! -timothyfu- ♂ (221 bytes) () 12/30/2016 postreply 06:58:54

• 盡可能的減輕庝痛和維持基本關節功能為目的，手術越簡單越快越好，這位老人的手術和麻醉風險確實太高，術後灰複和生活質量也不一定有提高 -timothyfu- ♂ (0 bytes) () 12/30/2016 postreply 07:12:32