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Precautions to be taken after operation on fractured thighbone - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2572 Questions
User :   Hello, my mother who is 81 has been recently operated from fractured thighbone. She had a plate fixed under her bone which was torn into pieces when she fell. She has been released from hospital three day ago and the surgery took place on 2 July. Her surgery went well. She has a strong organism (stong heart and other vital organs) but has two artificial hips which work very well and which were unharm by the fall and has huge calcification around one of her hips which is ten years old.She has a very good physical therapist.However, she feels very weak and prefers to stay in bed because attempts to verticalise her make her very dizzy, pale with the sensation of loosing the gound under her feet and blackness before her eyes. To put it simply - she is ver weak.
I take well care of her nutrition and rest needs but am worried about her weakness. I know that elderly people sometimes when they they fall and break something never get up again but die. I am ver worried about my mother. She must be a little depressed because she cannot take care of herself and must be thinking about her future because she was told that her recovery might take up to six months. How to fight this weakness she suffers from and bouts of dizziness? Many thanks.
Doctor :   Hello.
User :   hello
Doctor :   Let me read your query.
User :   are you there?
Doctor :   Yes.
Doctor :   I'm going through your query.
Doctor :   As it is only 3 days since
User :   am sorry to ask but I hope that this waiting time doesn't count in for my 15 minute chat
Doctor :   she was discharged from the hospital.
Doctor :   It may take some time for her to get to full fittness.
Doctor :   You can provide good nutrition and
Doctor :   support her during walk.
Doctor :   how about her vitals
Doctor :   Like BP
User :   she cannot walk and any standing on the operated leg is forbiden. the therapist makes her get up and stand with clutches but no walking.
Doctor :   As i said it will take time.
User :   good question...I havn't measure it since she came out of hpt. maybe I should tomorrow. she has been taking pills fo her pressure regularly and it is generalkly fine
Doctor :   Ok.
Doctor :   Is she diabetic?
User :   i thought so that it takes time to recover. but is there any indication what is normal and waht is not? how many days we can expect her to be this weak? No she is not diabetic.
Doctor :   It is a kind of major surgery.
User :   she has hypothiroidsm which is controlled by medication
Doctor :   So it will
User :   yes you are right..I keet telling her this
Doctor :   You have to be patient.
Doctor :   And encourage
Doctor :   her to
Doctor :   put in good
Doctor :   effort
Doctor :   so
Doctor :   she can recover
Doctor :   as soon as possible .
User :   her therapist insists that she does some gentle excercises to strengthen her muscles evry one hour and sits up every two hours and stay seated for 5t minutes which is very hard for her
Doctor :   She is 81
Doctor :   you can't expect her to
Doctor :   be that active
User :   I understand but for me it is important to know how long is this kind of weakness normal and when should onse get worried
Doctor :   after right
Doctor :   after surgery .
Doctor :   It may be there from 1 to 2 months.
User :   no I do not expect her nor force her. I thought that she should really reast in bed well but the therapist who knows her well and who has already helped her earlier says that its dangerouis to let her just stay in bed without everday excercising and sitting errected in bed to fight dizzyiness
Doctor :   you have to do it slow and steady
Doctor :   your therapist
Doctor :   is right.
Doctor :   it is better to start moving as soon as possible.
User :   should she stay in bed for the most of the time or should also sit in her armchair
Doctor :   She should start moving as soon as possible.
Doctor :   Try to make her sit on the chair as much as possible.
User :   I see.
Doctor :   Only as long as she is feeling comfertable.
User :   the therapist suggest she stays 5 minutes seated very 2 hours
Doctor :   That is good.
Doctor :   Is she able to do that?
User :   so , I should not be worried about her weakness..we should take it normal and she should expect that it lasts up to two months
User :   yes a little by little. it makes her very tired but she is managing
Doctor :   It may not take 2 months .
Doctor :   That is the maximum ytime
Doctor :   period.
User :   I understand
User :   is there any other avdiuce you would give?
Doctor :   As of now.
Doctor :   just watch for her BP
Doctor :   regularly
User :   anything on nutrition or of general nature?
Doctor :   provide good nutrition.
User :   what does it mean regularly? several times a day at the same time or after and before excercising. pls advise me
Doctor :   At lest 3 times a day.
Doctor :   for a week
User :   do you expect the BP to go up or down? What should I be watchful of
Doctor :   Make sure it is with in normal range.
User :   if not, what should i do? call a doctor?
Doctor :   Is she back on medication?
User :   yes
Doctor :   Ok.
Doctor :   If there is any abnormal variation in the BP,
Doctor :   you can call the doctor.
User :   ok. what else should I be careful about?
Doctor :   Just the usual.
Doctor :   Watch out for any
Doctor :   un wanted symptoms
Doctor :   like shortness of breath,
Doctor :   any bed sores.
Doctor :   any increased pain in the legs.
User :   all right and nutrition?
Doctor :   Just normal.
Doctor :   food,
Doctor :   did the doctor prescribe any calcium tablets?
User :   no
Doctor :   Ok.
Doctor :   Then give her some fresh
Doctor :   fruits
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