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DR. VISHAV GOYAL

Consultant - Orthopedics Joint Replacement & Arthroscopic Surgery

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Reviewed by

DR. VISHAV GOYAL

Consultant - Orthopedics Joint Replacement & Arthroscopic Surgery

Manipal Hospitals, Patiala

Hip Fracture (Broken Hip): Symptoms, Risks & Recovery

Reviewed by:

DR. VISHAV GOYAL

Posted On: Feb 21, 2025
blogs read 4 Min Read
Hip Fracture (Broken Hip): Symptoms, Risks & Recovery

A hip fracture refers to a break in the upper part of the femur (thigh bone), often due to trauma or underlying health conditions. These fractures can cause severe pain and significantly impact mobility. They require timely medical intervention to ensure recovery and prevent complications.

 

Types of Hip Fractures

The most common types include:

  • Femoral Neck Fractures: Occur just below the ball of the hip joint, commonly seen in older adults with osteoporosis.

  • Intertrochanteric Fractures: Located between the femoral neck and the femur shaft, often occurring from falls.

  • Subtrochanteric Fractures: Found below the intertrochanteric region and typically require more extensive surgery.

Hip fractures are more prevalent among the elderly, particularly women with osteoporosis, but they can affect anyone due to accidents or falls.

Anatomy of the Hip: What Makes It Vulnerable?

The hip joint is a ball-and-socket joint responsible for mobility and weight-bearing. The most vulnerable areas include the femoral neck and the intertrochanteric region due to high stress and age-related bone weakening. The joint comprises bones, cartilage, ligaments, and synovial fluid, which all contribute to its function but also make it susceptible to injuries.

Common Areas Prone to Hip Fractures

Hip Region

Description

Femoral Neck

Located just below the ball of the hip joint, prone to fractures in older adults with osteoporosis.

Intertrochanteric Region

The area between the femoral neck and shaft is commonly fractured in falls.

Subtrochanteric Region

Found below the intertrochanteric area, often requires more extensive surgery.

Causes and Risk Factors for Hip Fractures

Hip fractures can result from a variety of factors, including underlying medical conditions and lifestyle choices.

Major Causes

  • Osteoporosis: Weakens bones, increasing fracture risk.

  • Falls: The most common cause, often due to poor balance, weak muscles, or environmental hazards.

  • Trauma: Car accidents or high-impact injuries can cause fractures in younger individuals.

Risk Factors

  • Age & Gender: Women and older adults are at higher risk.

  • Lifestyle Choices: Smoking, excessive alcohol, and poor nutrition contribute to weakened bones.

  • Medical Conditions: Arthritis, Parkinson’s disease, diabetes, and stroke can increase the risk.

  • Medications: Certain drugs that cause dizziness or affect bone density can increase fall risk.

Recognizing the Symptoms of a Hip Fracture

Common hip fracture symptoms include:

  • Severe pain in the hip or groin.

  • Inability to stand or walk without assistance.

  • Swelling and bruising around the hip.

  • Leg appearing shorter or turned outward compared to the other leg.

Immediate Steps to Take After a Hip Fracture

  • Call emergency services immediately.

  • Keep the patient still to avoid further injury.

  • Apply ice to reduce swelling if possible.

  • Avoid giving food or drink in case surgery is required.

Diagnostic Procedures for Hip Fractures

Doctors use several methods to confirm a hip fracture:

  • Physical Examination: Assessing pain, mobility, and limb positioning.

  • X-rays: The primary imaging tool.

  • MRI or CT Scans: Used when fractures are not visible on X-rays.

Treatment Options for Hip Fractures

  • Surgical Treatments:

  • Hip Pinning: Uses screws to hold the bones together.

  • Partial Hip Replacement: Replaces only the femoral head.

  • Total Hip Replacement: Replaces both the femoral head and socket.

  • Non-Surgical Treatments:

  • Used in rare cases, involving bed rest and physical therapy.

Comparison of Hip Fracture Treatments

Treatment Type

Procedure 

Recovery Time

Hip Pinning

Screws stabilize the fracture

2-3 months

Partial Hip Replacement

Replaces part of the hip joint

3-4 months

Total Hip Replacement

Entire hip joint is replaced

4-6 months

Non-Surgical

Bed rest, limited movement

6+ months (rare cases)

The Recovery Process After a Hip Fracture

  • Hospital Stay: Typically lasts a few days post-surgery.

  • Rehabilitation: Includes physical therapy to regain mobility.

  • Healing Timeline: Full recovery may take 3-6 months, depending on age and health.

Managing Pain and Discomfort During Recovery

  • Medications: Pain relievers, anti-inflammatory drugs, and muscle relaxants.

  • Physical Therapy: Helps restore movement and reduce pain.

  • Alternative Therapies: Acupuncture, massage, and heat therapy.

Preventing Future Hip Fractures

  • Exercise: Strengthens muscles and improves balance.

  • Bone Health: Adequate calcium and vitamin D intake.

  • Fall Prevention: Use assistive devices, wear proper footwear, and modify home environments.

Psychological Impact of Hip Fractures

  • Depression & Anxiety: Common due to loss of independence.

  • Coping Strategies: Counseling, support groups, and therapy.

Conclusion

A hip fracture can significantly impact a person's life, but with the right medical care, rehabilitation, and preventive measures, patients can regain mobility and quality of life. Seeking treatment from a reputable healthcare provider is crucial for a smooth recovery.

At Manipal Hospital Patiala, we specialize in hip fracture treatments, offering state-of-the-art surgical care, advanced rehabilitation programs, and personalized support for every patient. Our team of expert orthopaedic surgeons and physiotherapists ensure the best possible recovery outcomes.

Take Action Today!

If you or a loved one is experiencing hip fracture symptoms or needs expert orthopaedic care, book an appointment at Manipal Hospital Patiala today. Prioritize your health and regain mobility with our world-class medical expertise!

FAQ's

The most common cause is falls, particularly in older adults with osteoporosis.

Recovery typically takes 3-6 months, depending on age, health, and treatment.

In rare cases, non-surgical treatment like bed rest and therapy may be considered, but surgery is often necessary.

Complications include infections, blood clots, pneumonia, and long-term mobility issues.

Maintaining strong bones through diet and exercise, using fall prevention measures, and managing osteoporosis can reduce risk.

Yes, especially in older adults, as complications can arise, impacting overall health and independence.

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