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Inter-trochanteric fracture repair; Subtrochanteric fracture repair; Femoral neck fracture repair; Trochanteric fracture repair; Hip pinning surgery
Hip fracture surgery is done to repair a break in the upper part of the thigh bone. The thigh bone is called the femur. It is part of the hip joint.
See also: Hip pain
You may receive general anesthesia before this surgery. This means you will be unconscious and unable to feel pain. You may have spinal anesthesia. In this kind of anesthesia, medicine is put into your back to make you numb below your waist.
The type of surgery you have will depend what kind of fracture you have.
If your fracture is in the neck of your femur (the part just below the top of the bone) you may have a hip pinning procedure. In this surgery:
If you have an inter-trochanteric fracture (the area below the femur neck), your surgeon will use a special metal plate and special compression screws to repair it. Often more than 1 piece of bone is broken in this type of fracture. In this surgery:
Your surgeon may perform a partial hip replacement (hemiarthroplasty) if there is concern that your hip will not heal well using one of the procedures above. Hemiarthroplasty replaces the ball part of your hip joint. See also: Hip joint replacement
If a hip fracture is not treated, most people will have to stay in a chair or their bed. This can lead to other life-threatening medical problems, especially for older people. Because such serious problems can develop, surgery to fix the fracture is often recommended.
Simunovic N, Devereaux PJ, Sprague S, et al. Effect of early surgery after hip fracture on mortality and complications: systematic review and meta-analysis. CMAJ. 2010 Oct 19;182(15):1609-16.
Butler M, Forte M, Kane RL, et al. Treatment of common hip fractures. Evid Rep Technol Assess (Full Rep). 2009 Aug;(184):1-85, v.
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