Hip Fracture Surgeons
A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture is primarily based on the bones and soft tissues affected or on the level of the fracture. If you are suffering from a hip fracture, you need the very best hip fracture care available. Turn to the specialist hip surgeons and doctors at KSF Orthopaedic for expert and quality care.
Hip Fracture Treatment & Surgery
Operating since 1976, KSF is committed to absolute excellence in orthopaedic care. Staffed with numerous Board Certified / eligible physicians trained in a range of specialties, we are a full-service hip fracture treatment center in Houston, TX capable of treating all major hip injuries and conditions.
Types of Fractures
There are three different variations of hip fractures that we treat here at KSF.
Intracapsular Fracture Treatment
This fracture occurs at the level of the neck of the bone and the head of the femur, generally within the capsule. The capsule is the soft-tissue envelope that contains the lubricating and nourishing fluid if the hip joint. Our management of this type of fracture is aimed at fixing the cartilage on the ball that has been injured or displaced. The intracapsular fractures may be treated with individual screws or one single larger screw that slides within the barrel of a plate.
This treatment allows the fracture to become more stable with the possibility of a secondary screw be added for further stability if it is deemed required by the surgeon. The surgical treatment we give will differ based on the age of the patient. In younger patients, attempts are made to reduce or realign the fracture through a larger incision. In an older patient, the surgeon often decides that components of the hip be replaced such as replacement of the ball or head of the femur. In particular occurrences, both the ball and socket or head of the femur and acetabulum is replaced, which is known as a total hip replacement.
Intertrochanteric Fracture Treatment
This fracture occurs between the neck of the femur and a lower bony prominence called the lesser trochanter. The lesser trochanter is an attachment point for one of the major muscles of the hip. We mostly manage these fractures with either a compression hip screw or an intramedullary nail. The compression hip screw is fixed to the outer side of the bone with bone screws and has a large secondary screw that is placed through the plate into the neck and head of the hip.
This design helps with compression at the fracture site, increasing the stability of the area and promote healing. For the other surgical option, the intramedullary nail is placed directly into the marrow canal of the bone through an opening which is mad at the top of the greater trochanter. A lag screw is placed through the nail and up into the neck and head of the hip. Like the compression hip screw method, this option allows for impaction at the fracture site and helps with stability in the area.
Subtrochanteric Fracture Treatment
This fracture occurs below the lesser trochanter and can involve more than one breakage further down the bone. We manage these fractures with long intramedullary nails together with a large lag screw or they are managed with screws that capture the neck and head of the femur or the area directly underneath it.
The bones must be kept from rotating around the nail or from shortening on the nail, which is successfully achieved through placing additional, interlocking screws at the lower end of the nail in the area of the knee. In some cases, our surgical team may decide to use a plate instead of the nail. In this instance, the plate will have screws that go into the bone from the lateral or outer side of the femur. A single large screw goes into the neck and the head of the femur with secondary screws being placed through the plate into the bone to hold the fracture in place and promote stability.
After Surgery Care & Rehabilitation
Patients can be discharged from the hospital to their home depending on the length of their surgical treatment or they may require an after-surgery stay in a rehabilitation facility to allow them to regain their ability to walk.
Our surgical team will want to check the wound, remove sutures and examine the progress of healing using x-rays and physical therapy where necessary. Following the hip fracture surgery, our patients will regain much or all of their mobility and independence that they had before the surgery
Causes & Symptoms
Hip Fractures are common to occur from a fall or from a direct blow to the side of the hip. There are also certain medical conditions such as osteoporosis, cancer, or stress-related injuries that can weaken the bone and make the hip more susceptible to breaking.
Pain over the outer upper thigh or in the groin will be felt by the patient, along with significant discomfort at attempts to flex or rotate the hip. In cases where stress injury or cancer has weakened the bone by disease, the patient may notice aching in the groin or thigh area for a period of time before the break. Where the bone is completely broken, the leg may appear to be shorter than the non-injured leg. Learn more about hip fractures here.