Hip fracture treatment in Hyderabad | Dr. Aditya Kapoor

A hip fracture may result after a severe fall or trauma.

If you have a fractured hip bone, you will experience severe hip joint pain, movement difficulty, and abnormal positioning of the hip and leg.

Your orthopedic doctor evaluates your condition based on your symptoms, hip joint instability, the position of the hip and your leg, movement difficulty, and the severity of the pain.

For the detection and diagnosis of hip fractures, your Orthopedic doctor orders an X-ray. An X-ray film also helps in the identification of the location of hip fractures.

X-ray film does not help detect hairline fractures. Thin fractures usually don’t show up in X-rays. Therefore, your Orthopedic doctor may order an MRI test or a bone scan to detect hairline fractures.

The long hip bone (femur) is prone to fractures in the following two regions:

The neck of the femur bone (femoral neck): Below the ball-and-socket type of hip joint lies the femoral neck. Hip fractures most commonly occur in this region.

The upper part of the femur further down the femoral neck forms the intertrochanteric region. Hip fractures commonly occur in this region as well.

Diagnosis of Hip Fractures

When you reach an orthopedic hospital, you will go to the hospital’s emergency room. A specialist doctor makes a note of your symptoms, type of injury, and history. The orthopedic doctor attends to you and examines you carefully. The doctor will move, rotate, and twist your injured leg and also compare its length with the other leg to see whether it is shorter than the other leg.

Your orthopedic doctor will order an X-ray to detect and diagnose your hip fracture. To get more details about the type of soft tissues and the structures involved in the hip joint and bone fractures, the doctor may also order an MRI. A CT scan can also provide a detailed cross-sectional image of the hip joint.

Hip Fracture Treatment in Hyderabad – Surgery

You should treat your hip fracture as early as possible to prevent complications. Barring a few nondisplaced hip fractures almost all types of hip fractures need surgical interventions. Many factors determine the effectiveness of surgical treatment of hip fractures including the age, the type, and location of hip fractures.

Nondisplaced femoral neck fractures

Doctors use pinning to treat this type of fracture. It helps prevent slipping off or dislodging of the femoral head from the femoral neck. In-situ pinning is the best treatment for nondisplaced femoral neck fractures.

Internal repair using screws: Orthopedic doctors use a metal plate to fix the bone with screws.  In this type of repair procedure, broken bones are held together using screws while the fracture heals.

Intertrochanteric hip fractures

Surgical treatment of this type of fracture involves the use of side plates and screws or using an intramedullary nail.

Subtrochanteric fracture

The location of this type of fracture is below the hip joint. Orthopedic doctors use nails and screws to fix this fracture. Doctors also use interlocking screws to stabilize the bone from rotating.

Femoral head fractures are rare: nondisplaced fractures are treated nonsurgical with limited weight bearing. In young persons with a large fragment, open reduction and fixation with screws is done

Displaced fractures of the femoral neck are treated with HIP REPLACEMENT – especially in older people.

Partial Hip Replacement

In this type of hip joint replacement, only the ball of the hip joint is replaced. The socket of the hip joint is not replaced (partial hip replacement).

Total Hip Replacement

A total hip replacement involves the replacement of the upper femur and the upper part of the hip joint in the pelvic bone with a prosthesis (an artificial hip joint). Total hip replacement is more cost-effective and the outcomes are quite promising with better long-term prospects.

Rehabilitation – Physical and Occupational Therapy

Recovery from a hip fracture requires rehabilitation after hip surgery to regain mobility and strength. Physical therapy helps patients regain mobility, strength, and endurance. Experienced physical therapists provide a wide range of strengthening and mobility exercises. They recommend exercises based on the type of surgery the patient has undergone. Physiotherapists also provide home-based exercises to support their patients. Faster recovery and resumption of daily activities, to a large extent, depend on the training provided by occupational therapists – who train their patients to use their limbs aptly to perform their day-to-day activities. If you are planning hip fracture treatment in Hyderabad, meet Dr. Aditya Kapoor.