HIP FRACTURES

Hip is a joint where thigh bone (femur) meets with the hip (Acetabulum) bone. The “hip” is a ball-and-socket joint that allows the leg to bend and rotate at the pelvis.

Types of Fractures

Intracapsular Fracture (Neck of femur)
Extracapsuar (Intertrochanteric or Subtrochanteric Fracture)

Causes

Fall
Road traffic accidents
Osteoporosis
Cancer (metastasis)

Symptoms

Pain
Inability to bear weight
Inability to move the joint
Shortening of the leg
Deformity

Investigations

X-rays
CT Scan
MRI

TREATMEMENT

Non-Surgical

It’s only in surgically unfit patients.

Rest
Immobilisation – Derotation splints
Analgesics

Surgical

Neck of femur Fracture :
Young patients – cancellous screw fixation

Old patients – Bipolar Hemiarthroplasty

Intertrochanteric Fracture:
Dynamic Hip Screw and plate fixation(DHS)

Nailing (PFN, Intertan)

Subtrochanteric Fracture:
Plating

Nailing( Recon)