Most hip fractures occur in one of two locations in the thigh bone (Femur).
Two places where Hip fractures can occur:
- The femoral neck(Neck):
This area is located in the upper portion of the femur, just below the ball part (femoral head) of the ball-and-socket. joint.
- The Intertrochanteric region(IT):
This region is a little farther down from the actual hip joint, in the portion of your upper femur that extended outward.
- Inability to move immediately after a fall.
- Severe pain in the hip or groin.
- Inability to put weight on the affected side.
The type of surgeries depends on the location and severity of the fracture, whether the broken bones are improperly aligned (displaced fracture), age and the underlying health conditions. Options include:
Metal screws +/- plates are inserted into the bone to hold it together whilst the fracture is healing. In IT fractures screws are attached to a metal plate (DHS) that runs down the femur. Nails could also be used for fixation.
2.Total hip replacement:
The upper femur and the socket in the pelvic bone are replaced with prosthesis. Total hip replacement associated with better long-term outcomes for healthy adults who can live independently.
3.Partial hip replacement: If the ends of the broken bone are displaced or damaged, the top end of the femur is removed and replaced with a metal ball (prosthesis). Partial hip replacement may be recommended for adults who have other health conditions or cognitive impairment or who no longer live independently.
- Depends upon the type of surgery:
- In case of internal fixation with metal screws and plates, patients are advised not to bear weight for atleast 6 weeks.
- In case of Hemi replacement or Total replacement patients will be moved out of the bed the day after surgery.
- Range-of-motion and strengthening exercises.
- Physiotherapist will teach the techniques for independence in daily life, such as using the toilet, bathing, dressing and cooking.
- Physiotherapist will determine if a walker or wheelchair may help to regain mobility and independence.