Hip Fractures are the 4th leading cause of death among the elderly. Hip Fracture is a life-threatening injury that has to be treated early to reduce the complications. Treatment options include fixation, Hemi replacement and Total Replacement followed by physical therapy.
Causes of Hip Fracture
As the bones are weakening with age, the risk of osteoporosis and eventual hip fracture increases in older people. Too many medications, balance and Vision problems make the elderly more likely to trip n fall causing the Hip Fracture.
A high-impact car crash or other accidents also can cause Hip Fractures for all ages.
Women are more prone to osteoporosis and fractures because of faster loss in bone density due to a drop in estrogen levels at menopause. 70% of all Hip Fractures are recorded in women.
One can prevent hip fractures by ensuring a healthy diet to maintain bone density and being cautious and using support while walking to avoid falls in geriatric people.
Symptoms of Hip Fracture:
- There is severe pain in the hip and or groin region in case of hip fracture.
- The patient almost always is unable to move immediately after a fall.
- The patient is unable to put weight on the side of the injured hip and the corresponding leg.
- There are excessive stiffness and swelling in and around the injured hip.
A doctor may order for an X-ray or an MRI scan results based on the results to confirm a fracture or the exact location of the fracture. A bone scan can also be used to see if there is a smaller hairline fracture if the X-ray does not show a fracture.
There are at least 3 types of fractures concerning the hip region:
- A femoral neck fracture is associated with the upper portion of the femur bone which is the bone that sits above the ball-and-socket joint of the pelvic region.
- A femoral fracture can be located farther away from the joint known as the intertrochanteric fracture. This region of upper femur juts outward and is a little away from the hip.
- An atypical hip fracture can also occur in patients who are on bone density medication for a long period of time.
Treatment for Hip Fracture
Various options of treatment include mostly surgical followed by physical therapy depending on the type, severity and location of the fracture, patients’ age and other medical conditions. Some of the recommended surgery includes:
- Fixation using screws: Metal screws or metal plates are inserted and attached to the injured bone and left to heal the fracture over time.
- Partial or Hemi replacement: When only the ends of the bone are damaged, a surgeon can install a partial replacement such as just the head and neck region of the femur. Usually recommended for older patients who have other health conditions.
- Total hip replacement: A doctor may recommend total replacement if the blood supply to the ball part of the hip joint is damaged. A prosthetic hip replaces the damaged upper femur and the socket of the pelvic bone in total hip replacement. Total hip replacement is more cost-effective as it has better outcomes in the long term and reduces further hip fracture situations in healthier adults.
Recovery and Rehabilitation after Hip Replacement Surgery
Recovery from hip replacement surgery can be one day to a week depending on the patient’s age and severity. Once out of bed, physical therapy sessions are recommended to assist in the movement and strengthening of the hip joint. An occupational therapist with the help of the doctor and physical therapist will determine if a walker or wheelchair may be needed for mobility for some time.
Studies show that 10% of adults above the age of 65 have another hip fracture within two years of the first one. So some medications to improve with bone density and reduce osteoporosis will be recommended by the physician. These medicines can also be taken as preventive care after consulting a good orthopedic surgeon.
Dr.Behera is a very experienced Orthopedic Surgeon with the largest clientele and is most experienced in hip Fracture Surgeries in Hyderabad. His staff is skilled in dozens of specialties and they all work together to ensure quality care and successful recovery of every patient that has been treated not just technically but also in a friendly and compassionate environment.
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