The Consequences
Hip fractures
Without
going into details, hip fractures caused by osteoporosis are increasingly
serious as the disease advances. The more bone is lost, the more fragile
the bone, the more broken fragments there will be and therefore the more
difficult surgical treatment will be.
Hip fractures break
the femur's bone continuity. The various broken fragments move with respect
to each other under the effect of the fall and muscle action around the
joint, among others.
Bone continuity must therefore be restored and, as far as possible, the
largest fragments joined together again.
Everyone agrees
on this. The controversy concerns whether or not the cause should be treated,
i.e. what should be done with respect to bone loss. Most traumatologists
think that nothing should be done. They are content with simply mending
the fracture. We shall see later on that, here again, opinions differ
on how to treat these fractures.
However, it seems
logical and reasonable to treat both the consequence and the cause of
the fracture during the same operation. The reason for this is that the
skeleton is the only reserve, the only bank we have for the major mineral:
calcium.
It is clearly essential for the skeleton. We have seen that it is the
most important element quantitatively. What is less commonly known, perhaps,
is that this calcium is used for many things in the body. It is essential
for all nerve connections (synapses). It is essential for muscles (both
skeletal and heart). It is essential to the digestive tract, intestines
and liver. It is an irreplaceable element for the blood in coagulation
etc.
All the organs need
it and will obtain their supplies, "do their shopping" as it
were, as necessary, in the only supermarket the body has, i.e. the skeleton.
This store is not inexhaustible, particularly if the body is already in
low supply by nature (ethnic origin, environmental factors, etc.) and,
as we have already said, this fall in supply increases with age.
The cherry on the cake, as it were, is that when a bone breaks, it must
reach into its own reserves to rebuild what was lost and must –
in a way – consume itself in order to do so!
In a word, our skeleton
is available to meet all needs but, alas, nobody can help it when it needs
help itself!
Under these circumstances, why not take advantage of this accident which
gives us access to the site, to work on it, to provide all the help we
can as well?
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