A Beneficial Bipolar Hemiarthroplasty on a Centenarian in One Developing Country

• Main Authors: Komang Agung Irianto Suryaningrat, Komang, Novira Widajanti, Novira, Eko Julianto, Eko, Swen Ien, Swen, Ronald T M Panggabean, Ronald, Yudhisthira Pradnyan Kloping, Yudhisthira
• Format: Article PeerReviewed
• Language: English; English; Indonesian; English; Indonesian
• Published: Indonesian Society of Internal Medicine 2021
• Subjects: R5-920 Medicine (General)
• Online Access: https://repository.unair.ac.id/122658/1/C06_Artikel.pdf; https://repository.unair.ac.id/122658/3/C06_Bukti%20Korespondensi.pdf; https://repository.unair.ac.id/122658/4/C06_Kaji%20Etik.pdf; https://repository.unair.ac.id/122658/5/C06_Turnitin.pdf; https://repository.unair.ac.id/122658/10/C-06%20Karil.pdf; https://repository.unair.ac.id/122658/; http://www.actamedindones.org/index.php/ijim/article/view/1011
• Institution: Universitas Airlangga

Abstract 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.