Fractures in old age: risks and dangers

Why is the risk of fractures higher in older people?

The first and main factor is bone fragility, caused by a slowdown in metabolic processes in the body, a lack of calcium and a decrease in regenerative function - the ability to naturally repair damage. Every fifth man and every third woman after fifty years suffer from osteoporosis - a reduction in bone density. Any careless movement with such a disease can provoke a fracture.

Frequent falls are another serious cause of limb fractures in old age. Decreased visual and hearing acuity, dizziness, weakness, convulsions, sudden surges in pressure - all this leads to the fact that older people easily lose their balance and fall even out of the blue. At the same time, the nature of the fall changes with age: if young people fall forward or backward, then older people fall on their side, supporting themselves on their arms and hands. In this regard, cases of fractures of the femoral neck, shoulder, vertebrae, and wrist are becoming more frequent among the latter.

Add to this chronic diseases that drag on for years and significantly undermine the body’s ability to quickly recover.

What are the consequences of fractures in old age?

Severe injuries can only be treated with surgery. Conservative treatment is used in exceptional cases in the presence of serious contraindications to surgery, for example, chronic heart disease. Failure to undergo surgical treatment can lead to lifelong disability.

But even after the operation is performed, there remains a risk of incomplete bone restoration, which is again associated with osteoporosis. This insidious disease, even with a “harmless” fracture, limits a person’s motor activity, which, in turn, leads to stagnation in the intestines, circulatory disorders, loss of vision, kidney disease, and hypertension. Prolonged lack of physical activity leads to the formation of blood clots and embolism. The situation is complicated by the appearance of bedsores.

Forced immobility and a long period of treatment unsettle even a young, healthy person. What can we say about the elderly - for them, such a situation can cause a psycho-emotional breakdown, cause pressure surges, and lead to an exacerbation of chronic diseases.

The nature of treatment and recovery time after fractures in older people depend on the location of the injury and its severity.

Fracture of the lower jaw

Differential diagnosis

If a fracture of the lower jaw is suspected, a differential diagnosis is made with a dislocation of the temporomandibular joint, as well as between a fracture and a bone bruise [8,10].
Fracture and bruise of the bone lead to swelling of the soft tissues of the face and bruising [7]. However, with a bruise of the jaw, there is no violation of the closure of the jaws and no crepitus (crunching). A fracture of the lower jaw, on the contrary, is accompanied by a change in the bite, jaw joint line and the appearance of a crunch, which is caused by the displacement of bone fragments [11,20]. With a bruise, there is no sign of a “bone step”, which is present with a fracture and is determined by palpation. To confirm the diagnosis, additional examination is carried out using X-ray diagnostics, CT and MRI[9,20].

Dislocation of the temporomandibular joint and fracture of the lower jaw are accompanied by the inability to move the chin forward. A distinctive feature is the position of the dentition and chin - with a dislocation they move forward, and with a fracture - posteriorly. The diagnosis can be made after the results of an x-ray; with a dislocation, the head of the temporomandibular joint is not in its “usual” place [1,8].

Clinical examination

Clinical examination of a patient with a mandibular fracture includes the following methods.

External (physical) examination.

It is carried out to determine the integrity and swelling of soft tissues, identify hematomas, and facial asymmetry [2].

Palpation (palpation).

Allows you to establish the configuration of the lower jaw, identify the gradation of the bone (recessions, irregularities), the density of edema, exclude subcutaneous formations (emphysema, infiltration, hematoma), determine the degree of mobility of jaw fragments at the fracture site [11,18].

Instrumental examination of the oral cavity.

Makes it possible to identify damage to the mucous membrane and bone of the alveolar process of the lower jaw, dislocation of the temporomandibular joint, relationship and fractures of the teeth of the upper and lower jaws[15].

Plain radiography

Used to visualize the bones of the skull and face in frontal and lateral projections. An image in a direct projection allows us to identify combined jaw fractures with damage to the skull. Based on the results of lateral images, the following is determined:

number of fractures, type and location;
the size of the gap between the jaw fragments and the presence of displacements between them;
presence/absence of teeth in the fracture line.

If a mental (along the central line of the jaw) or fracture of the condylar process of the mandibular branch is suspected, a targeted X-ray is taken[3].

Orthopantomography

Orthopantomography is a type of X-ray diagnostics and makes it possible to obtain a high-resolution, all-round (panoramic) image of the jaws. The method allows a detailed assessment of the condition of the jaws and teeth, maxillary sinuses, and sinuses [19].

Computed tomography (CT)

The method is used to identify bruises, pathologies of joints, ligaments, sinuses and bones, and damage to the neurovascular bundle. During computed tomography, at least 16 sections of the area under study are performed, which allows for a detailed examination of any changes and deviations from the norm [1,18].

Magnetic resonance imaging (MRI)

The most informative and modern research method for diagnosing jaw fractures is magnetic resonance imaging [17]. Makes it possible to assess fracture-related damage to soft tissues, ligaments, cartilage and capsules of the temporomandibular joints (TMJ). MRI can determine the presence of TMJ effusion and inflammation [5,20].

Femoral neck fracture

A hip fracture in old age is one of the most severe and painful injuries that requires long-term treatment. It is more common in women because their bone tissue is more susceptible to osteoporosis. The obvious symptoms of such a fracture are acute pain that occurs when trying to lean on the broken bone, and the inability to move the leg. In this case, there may not be a hematoma, since the hemorrhage is minimal. A hip fracture in older people is treated promptly, as this is the fastest and most effective way of recovery, preventing possible complications. Conservative treatment - skeletal traction or plaster casting - has a high mortality rate and is extremely difficult to tolerate in elderly patients.

Surgical intervention involves endoprosthetics - replacing damaged bone with an implant. Osteosynthesis - fixation of broken bone fragments in the correct position - is usually used in younger patients.

After surgery, an elderly person requires full home care. Recovery time is different for everyone. With proper care, they return to their normal lifestyle within a year. In some cases, definitive rehabilitation is not possible.

Ankle fracture

Surgical treatment is indicated for patients with an unstable fracture, patients who want to return to sports as soon as possible, and patients for whom conservative treatment has failed.

Patients should be aware that the choice of surgical treatment must be carefully considered.

There are several options for surgical treatment, each of which is selected based on the individual characteristics of the patient and the nature of the fracture.

The operation is best performed when the swelling of the soft tissues in the area of the fracture is significantly reduced. Therefore, surgery is often performed a week or more after the injury. Intervention in conditions of severe edema increases the risk of developing problems with postoperative wound healing and infectious complications. The period of time when surgery must be performed usually lasts 2 weeks; after this period, active processes of fracture consolidation begin, which further complicate the surgical intervention.

Fracture of the outer malleolus

The operation is characterized by very favorable results in terms of pain relief and return to full daily activities.

It consists of repositioning the fragments (restoring the anatomy) and fixing the fibula with a plate and screws.

The operation is usually performed under general anesthesia and using a single access to the outer surface of the ankle joint. Patients usually spend the first night after surgery in the clinic.

A – X-ray of a fracture of the lateral malleolus. B – Postoperative radiograph after anatomical reduction and stabilization of the fracture with a plate and screws

Inner ankle fracture

The operation is characterized by very favorable results in terms of pain relief and return to full daily activities.

It consists of repositioning the fragments (restoring the anatomy) and fixing the inner malleolus with one or two screws or, occasionally, a plate.

The operation is usually performed under general anesthesia and using a single access to the inner surface of the ankle joint. Patients usually spend the first night after surgery in the clinic.

A – X-ray shows an isolated fracture of the medial malleolus (white circle). B – X-ray after stabilization of the fracture with two screws

Fracture of the posterior edge of the tibia (posterior malleolus)

The operation consists of repositioning the fragments (restoring the anatomy) and fixing the posterior edge of the tibia with screws and a plate.

The operation is usually performed under general anesthesia and using a single approach in the posterior aspect of the ankle joint. Patients usually spend the first night after surgery in the clinic.

Bimalleolar fracture

The operation is characterized by very favorable results in terms of pain relief and return to full daily activities.

It consists of fixing the outer ankle with a plate and screws, and the inner ankle with one or two screws (or occasionally a plate).

The operation is usually performed under general anesthesia and using two approaches in the area of the outer and inner surface of the ankle joint. Patients usually spend the first night after surgery in the clinic.

Trimalleolar fracture

The operation is characterized by fairly good results in terms of pain relief and return to full daily activity, however, due to the nature of the fracture, the risk of developing post-traumatic osteoarthritis is higher here, even despite a flawlessly performed surgical intervention.

The operation involves fixing the outer malleolus with a plate and screws, the inner malleolus with screws (or occasionally a plate), and the posterior edge of the tibia with a plate and screws.

The operation is usually performed under general anesthesia and using two approaches in the area of the back and inner surface of the ankle joint. Patients usually spend at least the first night after surgery in the clinic.

A – Lateral radiograph of a normal ankle joint. B – X-ray of a trimalleolar fracture. C – X-ray after surgical stabilization of a trimalleolar fracture with plates and screws

Fractures and dislocations

The specifics of the operation are determined by the nature of the particular fracture.

A – X-ray of a normal ankle joint. B – X-ray of an open fracture-dislocation of the ankle joint with contamination of the wound. In such cases, there is a high risk of developing osteomyelitis and post-traumatic osteoarthritis of the ankle joint. Note also that this patient has severe damage to the tibiofibular syndesmosis (see below)

Damage to the tibiofibular syndemosis

These are high-energy injuries that damage some or all of the tibiofibular ligaments. Information on the anatomy of the tibiofibular syndesmosis can be found here.

The fibula and tibia are connected to each other by ligaments called the tibiofibular syndesmosis. As a result of injury, either partial or complete rupture of this ligamentous complex can occur, resulting in instability of the ankle joint.

Injuries to the tibiofibular syndesmosis can be isolated ligamentous injuries or combined with fractures in the ankle joint.

Surgical restoration of the tibiofibular syndesmosis is characterized by very favorable results in terms of pain relief and return to full daily activity.

This operation consists of repositioning fractures (restoring anatomy), if any, and stabilizing the tibiofibular syndesmosis itself.

More than one access is usually used during the operation. The operation is performed under general anesthesia and patients usually spend the first night after surgery in the clinic.

Radiographs A and B show a bimalleolar fracture with rupture of the tibiofibular syndesmosis, which led to dislocation and severe instability of the ankle joint. On postoperative radiographs C and D: anatomical reduction of fractures was performed, rigid fixation was performed, the anatomy of the ankle joint was completely restored

Broken arm

Fracture of the radius bone of the arm occurs most often at any age. This is due to the fact that when a person falls, he instinctively leans on his palm. There is usually no severe pain, the hand does not swell, and pain occurs when trying to move the hand and fingers.

This type of injury is the least dangerous for an aging body. A plaster splint is placed on the arm for a period of 6 to 8 weeks. Already on the third day after applying the bandage, it is recommended to slowly move the fingers, and after removing the cast, to develop the wrist.

To alleviate pain, which may persist for several months after the cast is removed, warm baths or alcohol compresses are given to the hands, and painkillers are taken at night.

Symptoms of a broken leg bone

Strong pain;
Swelling of the limb;
Redness of the skin;
An attempt to move the leg is accompanied by a characteristic “crunch” - this is how the friction of the fragments against each other is manifested;
Visually, a broken limb may appear shorter or, on the contrary, longer than the uninjured limb.
With an open fracture, a bleeding wound is visible.
If the peroneal nerve was injured at the time of the fracture, the foot will hang limply, without the ability to move it.

Shoulder fractures

Features of a fracture of the humerus in older people are swelling, pain and crunching when moving the arm. First of all, you need to take a painkiller and a sedative, then apply a splint or splint with a roller in the armpit to fix the shoulder, and take the victim to the hospital.

Depending on the complexity of the fracture, the doctor prescribes either a cast or complete immobilization of the shoulder with fixation to the body.

When the pain disappears, the patient is prescribed physical exercise and physiotherapy. After 1-1.5 months, the plaster is replaced with a supporting bandage.

Trochanteric femur fractures

These are fractures of the part of the femur closest to the pelvis. At the slightest movement, the legs are accompanied by sharp pain, after some time swelling and bruising appear. The hip bones heal very slowly, so the optimal solution in this situation is osteosynthesis surgery.

Conservative treatment, as in cases of hip injury, is used only in the presence of serious contraindications and can lead to serious complications. For example, the formation of blood clots and blood clots in blood vessels, which threatens the death of the patient. Therefore, massage and rubbing are mandatory, with the exception of the damaged area of the body.

The recovery period after surgery takes 6 months or more. At this time, an elderly person requires full care and assistance in the simplest daily procedures.

Fracture of the leg (Fracture of the bones of the lower limb, Fracture of the lower limb)

Hip fractures

A hip fracture is a serious injury, accompanied by severe pain and significant blood loss due to bleeding from fragments.
The severity of the damage and the need to fix the fragments using skeletal traction or a massive plaster cast causes a sharp decrease in the mobility of patients, which, especially in the presence of other injuries or concomitant diseases, can cause the development of dangerous complications, including bedsores and congestive pneumonia. In the first three days after injury, fat embolism is possible. Femoral neck fractures

are intra-articular and occur more often in elderly patients suffering from osteoporosis. A leg fracture occurs as a result of a fall at home or on the street; with a significant decrease in the strength of the bone, its integrity can be disrupted even with an awkward turn in bed. The patient complains of moderate pain in the joint area, the pain intensifies with movement. The leg is turned outward; in the supine position, the patient cannot independently lift the heel off the bed. When fragments are displaced, shortening of the limb is revealed. Swelling of the injured area is usually minor.

The diagnosis is confirmed by x-ray of the hip joint. Due to insufficient blood supply, the femoral neck heals poorly, a full bone callus, as a rule, is not formed, the fragments are “grabbed” together by connective tissue, which causes a high percentage of disability. Taking into account this circumstance, the preferred method of treatment for such leg fractures is surgery - osteosynthesis with a three-blade nail, endoprosthetics or autologous bone grafting.

If the general condition does not allow surgical intervention, skeletal traction is used. Elderly patients are given a plaster boot with a transverse bar that prevents rotation of the limb. This allows for the formation of fibrous callus while maintaining sufficient physical activity of the patient.

Trochanteric fractures

are extra-articular and are more often formed in patients of working age. The signs of a leg fracture are the same as for damage to the femoral neck, but the symptoms are more pronounced, there is more severe pain and significant swelling of the injured area. X-rays of the hip joint are also used for diagnosis. Such injuries usually heal well without surgery. The patient is placed in skeletal traction for 8 weeks and then replaced with a plaster cast. For early activation of patients, various surgical techniques can be used, including osteosynthesis with a plate, three-bladed nail or screws.

Diaphyseal femoral fractures

occur due to direct or indirect trauma. The immediate cause of a broken leg can be a blow, a fall from a height, an accident or a work injury. People of working age are most often affected. Powerful muscles attached to the femur act on the fragments, “pulling” or turning the fragments, so with such fractures of the leg, in most cases there is a pronounced displacement.

There is sharp pain and significant swelling, and bruising may appear on the skin. The limb is shortened, the femur is deformed, crepitus and pathological mobility are detected. In some cases, traumatic shock is possible. To confirm the diagnosis, an x-ray of the hip is prescribed. Treatment is conservative or surgical. At the admission stage, high-quality pain relief is provided to prevent the development of shock. Then skeletal traction is applied or femoral osteosynthesis is performed with a plate, pin or rod.

Condylar fractures of the femur

are intra-articular. They are more common in older people and occur when they fall or get hit on the knee. Accompanied by sharp pain in the knee and lower thigh. Support and movement are limited. The knee joint is swollen and hemarthrosis is detected. In case of displaced condyle fractures, deviation of the tibia inward or outward is observed. To clarify the diagnosis, an x-ray of the knee joint is prescribed. Upon admission, the joint is punctured, then a plaster cast or skeletal traction is applied. If the fragments cannot be compared, an operation is performed - osteosynthesis with screws, a plate or tie bolts.

Tibia fractures

Tibia fractures are the most common leg fractures. They arise as a result of high-energy exposure, for example, a car accident or a fall from a height. An exception is ankle fractures, which, as a rule, occur when the leg is twisted. They can be detected in people of any age, however, in general, there is a predominance of patients of working age.

Fractures of the tibial condyles

are intra-articular and most often occur as a result of a fall from a height. Both isolated fractures of the internal or external condyle, and simultaneous fracture of two condyles are possible. The knee joint is swollen and has hemarthrosis. Movement and support are painful and severely difficult. The diagnosis is clarified on the basis of radiography; less often, MRI of the knee joint is used. Treatment is puncture, blockade of the fracture site; for non-displaced leg fractures, immobilization is performed with a plaster cast; for displaced injuries, skeletal traction is applied or surgery is performed (osteosynthesis with plates, screws, or an Ilizarov apparatus).

Diaphyseal fractures of the leg bones

. Formed as a result of direct or indirect high-energy trauma. A fracture of only the tibia or only the fibula, or a fracture of both tibia bones (the most common) is possible. With fractures of one bone, displacement of the fragments is not observed, or it is less pronounced and easier to correct, since the second bone remains intact and holds the broken one in a relatively correct position. Fractures of both bones are more severe, they are more likely to result in severe displacement and more often require surgical intervention.

The damage is manifested by pain and severe swelling. Pathological mobility and crepitus are observed. Support is impossible, movements are very difficult. The diagnosis is confirmed using radiography. Treatment of fractures of one of the bones of the leg is often conservative - if necessary, a reduction is carried out, then a plaster is applied. Treatment of injuries to both bones of the leg can be conservative or surgical. In the first case, skeletal traction is applied for 4 weeks, and then immobilization is carried out with a plaster cast. In the second, focal osteosynthesis is performed using locked rods, screws, and, less commonly, plates, or extrafocal osteosynthesis with the application of an Ilizarov apparatus.

Ankle fractures

- a very common injury. Such leg fractures most often occur when the foot is twisted, less often they are the result of a direct blow to the joint area. Possible fracture of one ankle (inner or outer), fracture of both ankles (bimalleolar fracture) and fracture of both ankles in combination with damage to the posterior or anterior edge of the tibia (trimalleolar fracture). The injury may or may not be accompanied by subluxation, displacement of fragments and rupture of ligaments. In most cases, the more ankles are broken, the higher the likelihood of aggravating moments (subluxation, displacement, etc.).

There is a sharp pain. The joint area is swollen, movements and support are severely difficult or impossible. With subluxation and displacement of fragments, deformation of the damaged area is revealed. The diagnosis is confirmed by x-ray of the ankle joint. Treatment – anesthesia, reposition, plaster. The period of immobilization is determined based on the number of broken ankles (4 weeks for each ankle), that is, 4 weeks for single-ankle fractures, 8 for double-ankle fractures and 12 for trimalleolar fractures. If it is impossible to adequately compare the fragments and eliminate the subluxation, surgical intervention is indicated - osteosynthesis of the ankle with screws, plates or knitting needles.

Fractures of the foot bones

Calcaneal fracture

usually formed when falling from a height. It may be intra- or extra-articular, accompanied or not accompanied by displacement of fragments. The heel area is swollen, dilated, sharply painful, support is impossible. To clarify the diagnosis, an x-ray of the heel is performed. In case of leg fractures without displacement, a plaster cast is applied; in case of displacement, closed reduction is performed; in particularly difficult cases, an Ilizarov apparatus is sometimes installed.

Fractures of the tarsal bones

– such leg fractures are quite rare and occur as a result of a twisted leg, a fall or a direct blow. Accompanied by pain, swelling of the foot, difficulty in support and movement. The diagnosis is confirmed by x-ray of the foot. Treatment is conservative - plaster for 1-1.5 months.

Fractures of metatarsus and toes

– fairly common leg fractures. More often they are formed as a result of a blow or fall of a heavy object on the foot. Sometimes there is a shift. The distal part of the foot is swollen, painful, and support is difficult. To clarify the diagnosis, radiography is used. Treatment is usually conservative - a plaster cast (if there is displacement, with preliminary reposition). If it is impossible to hold the fragments in the correct position, fixation is performed with a needle.

Knee and ankle fractures

A fracture of the knee or ankle in old age is quite common as a result of twisting the feet or falling on bent legs.

A knee injury can be complicated by hemorrhage into the cavity of the knee joint. The choice of treatment method depends on the severity of the fracture: the doctor either applies a plaster cast, needles, or prescribes surgery with the installation of screws and plates. Rehabilitation lasts at least 6 months and is accompanied by massage and physiotherapy.

If the ankle is fractured, a plaster splint with a metal rod is applied, thanks to which the patient can lean on the injured leg without a crutch. In most cases, the person recovers after 2 months.

Compression fracture of the spine

A spinal fracture is especially dangerous in old age, since it can only be treated surgically. Due to health problems, such an operation is not always possible.

With a compression fracture, compression and deformation of the vertebrae occurs, and cracks are very likely to appear. All this can lead to spinal displacement and bone marrow damage. The injury makes itself felt by a sudden sharp pain that occurs during sudden movements, bending, and turning the body. Over time, the pain intensifies and is accompanied by numbness of the limbs. Without treatment, radiculitis, intervertebral hernias, muscle dystrophy, etc. develop.

The main task in case of a spinal fracture in older people is its maximum recovery and the patient’s return to their usual way of life. Treatment of spinal injuries at this age is very painful, so novocaine blockades and analgesics are mandatory.

Publications in the media

An open fracture is a fracture with damage to the skin or mucous membrane, through which the fracture area communicates with the environment. Open fractures can occur both at the time of injury (primarily open fracture) and after it, for example, due to improper transportation due to damage to the skin by bone fragments (secondary open fracture). All open fractures are considered primarily infected. Frequency. 8–10% of all injuries to the musculoskeletal system. Classification of soft tissue wounds in open fractures. The classification of AB Kaplan and ON Markova is used, which uses a combination of the first three Roman numerals and the first three capital letters of the Russian alphabet • Roman numerals describe the size of the wound •• I - wound up to 1.5 cm •• II - wound size 2–9 cm • • III - wound size 10 cm or more • The letters of the Russian alphabet indicate the type, severity and extent of soft tissue damage •• A - mild limited soft tissue damage; the viability of soft tissues is not impaired or is slightly impaired (for example, puncture, incised wounds) •• B - injuries of moderate severity; viability is partially or completely impaired in a limited area (bruised or lacerated wounds) •• B - severe injuries to soft tissues, viability is impaired over a significant area • Additionally, type IV is introduced - extremely severe injuries - the viability of the limb is impaired due to crushing, crushing and crushing of soft tissues and bones and damage to the main arteries.

The clinical picture is determined by the fracture, wound and complications (bleeding, infection, shock). TREATMENT • Primary surgical debridement - removal of all necrotic and non-viable tissue • Antibiotics are injected into the circumference of the wound • Suture of the wound •• The primary suture is placed immediately after the initial surgical debridement. A blind primary suture is not recommended for injuries to the great vessels, extensive crushing of tissue, late surgical treatment •• Primary delayed sutures are applied 3–5 days after surgery in the absence of signs of infection •• Early secondary sutures are applied 7–14 days when granulation tissue appears •• Late secondary sutures are applied within 2 weeks or later • Finished plaster cast, skeletal traction, transosseous compression-distraction osteosynthesis • Primary osteosynthesis is contraindicated in heavily contaminated wounds, extensive, crushed injuries.

ICD-10. T14.21 Fracture in an unspecified area of the body (open)

Prevention of fractures

To prevent fractures in older people, there are a number of recommendations you should follow. Firstly, start preventing osteoporosis as early as possible: move more, do yoga, physical exercise, and spend time outdoors more often.

Secondly, provide adequate nutrition, rich in calcium, protein and vitamin D. To do this, it is necessary to include in the diet lean meat, eggs, dairy products, sea fish, cabbage, nuts, oatmeal, liver, etc. In combination with vitamin and mineral complexes , strengthening bone tissue, the best result will be achieved.

During the rehabilitation period, rapid fusion of bones is facilitated by eating jellied meat, jelly, and fruit jelly.

To minimize the risk of falls and fractures in old age, all conditions for comfortable and safe living in the home should be created. For walks, it is better to take a cane with you, and buy shoes with non-slip soles.

Relatives who can take care of them and come to their aid in time play a huge role in the lives of older people. If possible, you should take walks together as often as possible, and provide all possible assistance in household chores - cleaning, shopping, cooking. This will not only brighten up an elderly person’s everyday life, but will also protect an already weakened body from everyday injuries and overload.

Rehabilitation

On average, rehabilitation after a fracture in older people lasts from 8 months to a year. During this period, they require careful care and attention; only under this condition will recovery proceed successfully. Relatives need to monitor the implementation of all doctor’s orders, organize physical therapy classes and massage, take on the responsibilities of cooking and other household chores.

Today, not everyone has such an opportunity; in this case, it is worth thinking about the services of a nurse or a private boarding house, which will provide high-quality round-the-clock care and rehabilitation after fractures for older people.

The network of boarding houses "Doverie" has created all the conditions for a comfortable stay and successful recovery of your loved ones:

clean, comfortable, spacious rooms;
regular examination by a doctor and medical staff, monitoring the timely intake of medications;
special equipment for patients with disabilities: wheelchairs, anti-decubitus mattresses, walkers;
full 6 meals a day, dietary and individual menus;
daily skin hygiene;
rehabilitation measures - physical therapy, massage, development of fine motor skills and much more.

The boarding houses employ highly qualified doctors who draw up an individual treatment and rehabilitation program for each resident. We provide not only comprehensive care, but also professional psychological support, interesting leisure time and warm communication, which is so necessary for older people.