Understanding Hip Fractures

What is a Hip Fracture?

A hip fracture is a break in the upper part of the femur (thigh bone) near where it connects to the pelvis. These fractures are serious injuries that typically require immediate medical attention and surgery.

Types of Hip Fractures

• Femoral Neck Fractures

  • Occurs in the neck-like portion of the femur
  • Most common in older adults
  • Often requires joint replacement

• Intertrochanteric Fractures

  • Located between the greater and lesser trochanters
  • Usually treated with internal fixation

• Subtrochanteric Fractures

  • Below the trochanters
  • Most complex to treat

Common Causes

• Falls (especially in elderly)
• High-impact trauma
• Osteoporosis
• Sports injuries

Risk Factors

• Advanced age (65+)
• Osteoporosis
• Gender (more common in women)
• Poor nutrition
• Physical inactivity
• Certain medications

Symptoms

• Severe hip pain
• Inability to bear weight
• Shortened leg on affected side
• External rotation of the affected leg
• Bruising and swelling

Treatment Options

Surgical Treatments

• Internal fixation with screws
• Partial hip replacement
• Total hip replacement

Post-Surgery Care

• Physical therapy
• Pain management
• Mobility assistance
• Fall prevention

Recovery and Rehabilitation

1. Hospital stay (3-7 days)
2. Physical therapy (several months)
3. Use of walking aids
4. Gradual return to activities

Prevention

• Regular exercise
• Adequate calcium and vitamin D
• Regular bone density screening
• Fall-proofing your home
• Regular vision checks

When to Seek Medical Care

Seek immediate medical attention if you:

• Experience severe hip pain
• Cannot move after a fall
• Have significant swelling or bruising

Long-term Outlook

Most patients can return to independent living with proper treatment and rehabilitation, though recovery time varies by age and overall health status.