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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.
Older adults have a greater chance of fracturing a hip because of other conditions they may have. Some conditions that increase the risk of hip fracture are osteoporosis, dizziness or problems with balance, weak muscles, poor eyesight, brain disorders, and taking medicines that may cause problems.
Ask your doctor about these risks:
You will most likely be admitted to the hospital because of a hip fracture. Most of the time, you will not be able to put any weight on your leg or get out of bed.
Before the surgery:
On the day of the surgery:
You will stay in the hospital for 3 to 5 days. But full recovery will take from 2 to 3 months to a year.
You will be encouraged to start moving and walking as soon as the first day after surgery. Most of the problems that develop after hip fracture surgery can be prevented by getting out of bed and walking as soon as possible.
You will probably be able to go home when:
Some people need a short stay in a rehabilitation center after they leave the hospital and before they go home. At a rehab center, you will learn how to safely do your daily activities on your own.
You might need to use crutches or a walker for a few weeks or months after surgery.
You will do better if you get out of bed and start moving as soon as you can after your surgery. Most of the problems that develop after this surgery are caused by being inactive.
Your doctor and nurse will help you decide whether it is safe for you to go home after you have had this surgery to repair your hip fracture.
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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