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Rugeley marathon man's broken hip was undiagnosed for some time, inquest told

By Kerry.Ashdown  |  Posted: July 04, 2014

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Derek Jukes’ fracture, discovered after he was admitted to Stafford Hospital in December 2013, was an old injury to his right hip, orthopaedic surgeon Vinod Kathuria told Cannock Coroner’s Court yesterday. But Mr Kathuria was unable to say when the 87-year-old had sustained it.

“These fractures, when they occur, can be undisplaced crack fractures,” he said. “Sometimes patients can walk on them for days or weeks before they become apparent. But this fracture was completely displaced when I saw him in December.”

Mr Jukes, who was admitted to hospital for shortness of breath and ankle and leg pain, had been healthy for most of his life. He had run more than 30 marathons, son Stephen Jukes told the inquest, and was walking his dog for two or three hours a day well into his 80s.

But he suffered a number of medical conditions in his later years, including stroke, heart disease and cellulitis.

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He had suffered a severe fall at home in 2011, the inquest heard, and a further fall in June 2013 while at Good Hope Hospital in Sutton Coldfield.

He was discharged back to his home at Lichfield’s Beacon Park Village, but readmitted later that month following another fall. A CT scan revealed extensive osteoporosis in his right hip, but no evidence of a fracture, the inquest heard.

Mr Jukes suffered another fall in August 2013, this time at Horse Fair Care Home in Rugeley, and was taken to Stafford Hospital, before being discharged in September.

Once the fracture was discovered Mr Jukes’ family agreed to corrective surgery, with the aim of improving his quality of life.

The operation proceeded as normal, but his condition deteriorated afterwards and he died at Stafford Hospital on January 7.

Mr Jukes’ family praised the care he received at Horse Fair Care Home and Stafford Hospital.

His cause of death was given as pulmonary oedema (excess fluid in the lungs) due to congestive cardiac failure, with the operated-on hip fracture given as a contributory factor.

South Staffordshire Coroner Andrew Haigh recorded a narrative verdict, that Mr Jukes was “a man with considerable natural disease who at some time sustained a fractured right hip”.

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