Hip Fracture
Hip Fracture

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Hip fractures are a relatively common injury in the elderly. As we age bone density decreases. The rate of bone loss is higher in women than men. Women are also at greater risk to develop osteoporosis. Osteoporosis is a gradual decrease in bone mass caused by calcium or in the case of post-menopausal women, an estrogen loss.

There are typically two types of fractures that occur in the hip:
  • Femoral neck fractures
  • Intertrochanteric fractures
A fracture of the femoral neck will often result in disruption of the blood supply to the bone. This disruption greatly reduces any chance of the fracture healing.

An intertrochanteric fracture doesnot affect the blood supply to the bone.

Symptoms Include:
  • Hip pain on weight bearing
  • Hip pain during range of motion
Treatment:
Femoral neck fracture treatment is dependent on two factors:
  • The age of the patient.
  • The amount of displacement of the fracture.
Surgical treatment:
  • Total hip or hemiarthroplasty (replacement of the ball) in older less active patients.
  • Hip pinning in less displaced fractures and younger patients.
  • Intertrochanteric fractures are usually surgically repaired with screws and a metal plate.


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Hip Fracture