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Dr. Ishwar Bohra

Dr. Ishwar Bohra
Sr. Consultant
BLK Centre for Orthopaedics,
Joint Reconstruction
& Spine Surgery
BLK Super Speciality
Hospital, New Delhi





Walking Again At 97

Fixing a hip fracture in an almost century old patient

THE CASE

Yashila Jamir, a 97 year old lady from Nagaland was battling with several old age diseases like Diabetes, Hypertension, Hypothyroidism, Osteoporosis, Cardiac and Kidney ailments and had recently suffered a severe hip bone fracture. The old lady was first taken to several hospitals in Nagaland, however, considering her age and critical condition the doctors refused to operate on her. The lady’s will to live and her determination even motivated the family to transport her by means of an air ambulance to BLK Super Speciality Hospital, New Delhi to avail advance care and treatment.

When she reached BLK, she was in severe pain due to the fractured hip bone and existing co-morbidities. Her condition started deteriorating while she was undergoing her preliminary tests and examinations. It was then decided to take her up for an immediate surgery.

THE PROCEDURE

To salvage the damaged bone was a real challenge, keeping in mind the age and fragile health of the nonagenarian. Administering anaesthesia for the surgery was another challenge considering her age and other complications related to anaesthesia. She is probably the eldest lady in the country with a fractured hip, multiple health concerns and still fighting for survival. The aim of the procedure was to repair the fracture and to make her walk again. Extra care was taken to avoid the complications which could have aroused for a bed ridden patient. With all expert opinion, the patient was optimized for surgery and the fracture was repaired with proximal femoral nail for early mobility.

THE RESULT

The patient was kept in ICU after surgery for one day. She was discharged after five days and started walking with the support of a walker. Presently, she is doing well and is in good health.