Hip Fracture Surgeons
Recovery time could take 2-3 months and even longer if there were additional fractures involved. A physician will likely recommend Physical therapy during recovery. If left untreated, a hip dislocation can cause more severe nerve injury or arthritis. It can also cause a painful condition known as osteonecrosis, which can ultimately lead to your hip joint destruction. To learn more about KSF Orthopaedic Center’s effective hip dislocation treatments, give us a call!
Hip Fracture Treatment & Surgery
Operating since 1976, KSF is committed to absolute excellence in orthopedic 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 bone’s neck and head of the femur, generally within the capsule. The capsule is the soft-tissue envelope that contains the lubricating and nourishing fluid of the hip joint. Our management of this type of fracture aims to fix cartilage on the injured or displaced ball. Surgeons may treat intracapsular fractures with individual screws or one larger screw that slides within a plate’s barrel.
This treatment allows the fracture to become more stable, with the possibility of a secondary screw be added for further stability if deemed required by the surgeon. The surgical treatment we give will differ based on the age of the patient. In younger patients, doctors aim to reduce or realign the fracture through a larger incision. In an older patient, the surgeon often decides that the hip’s components be replaced, such as replacing the ball or head of the femur. In particular occurrences, both the ball and socket or head of the femur and acetabulum is replaced, 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 bone’s outer side with bone screws and has a sizeable secondary screw placed through the plate into the neck and head of the hip.
This design helps with compression at the fracture site, increasing the area’s stability and promoting healing. For the other surgical option, the intramedullary nail is placed directly into the bone marrow canal through an opening made 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 the area’s stability.
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. They are managed with screws that capture the femur’s neck and head or the area directly underneath it.
The bones are kept from rotating around the nail or shortening on the nail, which is successfully achieved by placing additional, interlocking screws at the lower end of the nail in the knee area. 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 femur’s lateral or outer side. A single large screw goes into the neck and the femur’s head, 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 their surgical treatment length. 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 healing progress using x-rays and physical therapy where necessary. Following 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. Certain medical conditions such as osteoporosis, cancer, or stress-related injuries can weaken the bone and make the hip more susceptible to breaking.
Pain over the outer upper thigh or 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 some time before the break. Where the bone breaks, the leg may appear to be shorter than the non-injured leg. Learn more about hip fractures here.