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

My dad is 78 and has Parkinson. He also developed 老年痴呆 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  老年痴呆 worse. Under his 老年痴呆, 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： 

• 股骨还是股骨头骨折了? -WarmHerz- ♂ (0 bytes) () 12/29/2016 postreply 08:57:41

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

• 论坛里的薛成医生的骨科出身。您能把片子贴上来吗? -WarmHerz- ♂ (0 bytes) () 12/29/2016 postreply 09:35:45

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

• 只有这个 -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岁那年股骨摔骨裂，做手术换了。但是至今不能再下床。 -菲妈妈- ♀ (139 bytes) () 12/29/2016 postreply 09:26:45

• 手术，越快越好！越简单越好。不求愈合，但求能坐起，甚至起床活动。60年代，骨科界曾经有大宗调查，老年人髋部骨折，绝大多数在一年内 -薛成- ♂ (338 bytes) () 12/29/2016 postreply 09:52:30

• 问薛医生好。她在这个问题之后，又开了一贴，内有更多信息。请参阅。 -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，相对位置固定，可能不会非常疼痛，甚至可以少许活动。可是一个不当心，嵌插分离就彻底移位，就不能活动了。不治疗的后 -薛成- ♂ (362 bytes) () 12/29/2016 postreply 11:09:40

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

• 他现在能坐起来， -guest917d- ♀ (417 bytes) () 12/29/2016 postreply 12:20:36

• 是。嵌插骨折，就是骨折断端插进骨质里，相对稳定了。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， 几个月内？ -guest917d- ♀ (373 bytes) () 12/29/2016 postreply 12:55:32

• 很高，可以发生在任何时候。你想想，就那一点点尖斜插入骨髓腔，下肢这么长的杠杆。这事别抱侥幸。 -薛成- ♂ (0 bytes) () 12/29/2016 postreply 14:05:39

• 医生查房说风险太大， 不给做，么办？ -guest917d- ♀ (202 bytes) () 12/29/2016 postreply 17:54:55

• 他十月做小肠气手术， 全麻 -guest917d- ♀ (185 bytes) () 12/29/2016 postreply 18:26:14

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

• 汇报下，上次请教过的国内老人股胫骨骨折问题，手术后恢复良好，目前扶着可以走动 -胖獭- ♀ (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

• 尽可能的减轻庝痛和维持基本关节功能为目的，手术越简单越快越好，这位老人的手术和麻醉风险确实太高，术后灰复和生活质量也不一定有提高 -timothyfu- ♂ (0 bytes) () 12/30/2016 postreply 07:12:32