Surgery for Hip Fracture
More than 320,000 adults are hospitalized annually for a hip fractures according to the American Association of Orthopaedic Surgeons. Osteoporosis increases your risk of fracturing a hip.
- Tests are given to ensure your general good health especially if you are older. Blood tests, chest x-rays, electrocardiograms, and urine samples will be taken before surgery.
- You’ll be given anesthesia either general or spinal. Antibiotics will be administered during surgery and for 24 hours afterwards.
Surgical treatment depends on your age, condition and the type of fracture you have.
Once the bones are repositioned, your surgeon is likely to use one surgical screws or metallic devices to hold bones in place while they heal.
- Metal screws. If, after the break, the bone is still properly aligned, your doctor may insert metal screws into the bone to hold it together while the fracture heals.
- Replacement of part of the femur. If the ends of the broken bone aren't properly aligned or they've been damaged, your doctor may remove the head and neck of the femur and replace them with a metal prosthesis.
- Total hip replacement. In general, the older you are the more likely you are to receive a hip replacement.
Intertrochanteric region fractures. To repair this type of fracture, your doctor may insert a metal screw across the fracture. The screw is attached to a plate that runs down the femur and is attached with other screws to help keep the bone stable.
- It’s important after surgery to cough and breathe deeply to help your lungs remain clear.
You’ll also need to change positions with the help of a nurse about every 2-4 hours to help keep your skin and blood flow healthy.