A Beneficial Bipolar Hemiarthroplasty on a Centenarian in One Developing Country

• Published in: Acta medica Indonesiana Vol. 53; no. 2; pp. 202 - 207
• Main Authors: Irianto, Komang Agung, Widajanti, Novira, Julianto, Eko, Ien, Swen, Panggabean, Ronald T M, Kloping, Yudhisthira Pradnyan
• Format: Journal Article
• Language: English
• Published: Interna Publishing 01-01-2021
• Subjects: cementless bipolar hemiarthroplasty; elderly; hip fracture; surgery
• ISSN: 0125-9326; 2338-2732

Geriatric hip fractures are common; however, surgery on a 100-year-old patient is rare in Indonesia.  We report arthroplasty in 100-year-old woman with right hip fracture and right Colles fracture; which benefits her a three year of active and qualified life. Despite her age, the patient was quite independent, active, and mobile beforehand. Hence a meticulous preoperative planning and post-operative rehabilitation were structured by a comprehensive medic and non-medic geriatric team. Cementless bipolar hemiarthroplasty was perfectly sufficient for the hip fracture under regional anesthesia while the Colles fracture was managed with a close reduction and plastering. Rehabilitation was started on Day-2 and continued weeks after discharge. The patient is still alive and well 3 years after the surgery. Surgery is beneficial for the 100-year-old patient; it is in the best interests of the patient’s mobility and quality of life. Age alone should not limit a surgical decision as long as all comorbidities are controlled by a comprehensive medic and non-medic geriatric team.