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Hip Fracture Treatment Options

Hip Fracture Surgery and Physical Rehabilitation

Hip fracture repair and recovery can take a long time depending on age, type of fracture and overall health.  Elderly patients with a broken hip usually take longer to heal.  There are more complications with elderly patients with a fractured hip due to inactivity, age, bone density, and other medical conditions.  Your healthcare provider will give you details on your particular situation. 

 

What are the surgical treatment options for hip fractures?

Femoral Fractures (Intracapsular) Treatment Options

A compression hip screw is used to allow the fracture to become more stable by having the broken area impact on itself. Occasionally, a secondary screw may be added for stability.
In cases of displaced fractures, patients have shown improvements when some of the components of the hip are replaced. This means a replacement of the ball, or head of the femur (hemiarthroplasty).

 

Intertrochanteric Fracture Treatment Options

Most intertrochanteric fractures are managed with either a compression hip screw or an intramedullary nail (IM Nail). The intramedullary nail is placed directly into the marrow canal of the bone through an opening made at the top of the greater trochanter. A lag screw is then placed through the nail and up into the neck and head of the hip. The compression hip screw is fixed to the outer side of the bone with bone screws and has a large secondary screw (lag screw) that is placed through the plate into the neck and head of the hip.

An example is Smith & Nephew's INTERTAN* Intramedullary Nail with compression screws for stability.


Subtrochanteric Fracture Treatment Options

Subtrochanteric fractures can be treated with a long intramedullary nail with a large lag screw; or your surgeon may use large cannulated screws that capture the neck and head of the femur or the area immediately underneath it.


In 1956 Smith & Nephew launched the first hip compression screw.

Rehabilitation after surgery

Physical therapy is very important to your recovery.  Soon after the surgery, a physical therapist will focus on range of motion and strengthening exercises. Your surgeon will decide if you can heal with assistance at home or if you need to go from the hospital to an extended care facility. Your Physical Therapist and Surgeon will work together to devise a rehabilitation plan for you. 

 References:

AAOS Patient Education

http://orthoinfo.aaos.org/topic.cfm?topic=A00392

 

Please discuss nutrition, medication and treatment options with your doctor to make sure you are getting the proper care for your particular situation.  The information on this site does not replace your doctor's specific instructions.