Suggest treatment for hip fracture in patient with blocked heart arteries
Patient: Yes, thank you. My father had a stroke over 20 years ago. He was a miracle, they said as 2 arteries were completely blocked and only 3% of 1 artery open. They were unable to do any surgery on the damaged part of his heart. Well, he has lived way beyond we ever thought. Question: He fell this evening and broke his hip. It is not a clean break and demands surgery. However, the cardiologists at the hospital are too concerned due to his heart and are waiting for his personal cardiologist to evaluate him. What course would seem reasonable? Doctor: Hello,I can understand your situation.Since your father has a triple vessel block it would be a very high risk surgery for the hip fracture.A very high risk consent will be taken from you even if the cardiologist gives fitness for surgery.You have not mentioned the age of your father but i would assume it to be above 70,since he had an heart attack 20 yrs bck.Till the time the crdiologist gives fitness i would suggest traction with 3 kgs on the affected limb. Usage of pain killers to relieve tension.Aspirin or any other blood thinning drug should stopped five days prior to surgery.If surgery is not possible, bed rest with traction is advised.