“The nail is usually accompanied by multiple screws or a larger lag screw. “The primary instrument used in repairing subtrochanteric fractures is a long intramedullary nail,” says Sparling. Next, a side plate is attached to the femur, then fits over the screw and again holds the head and neck in position at they heal.” “First, the lag screw is inserted into the neck and ball of the femur. “Using a compression hip screw also involves the use of a lag screw, in addition to bone screws and a plate,” says Sparling. The lag screw holds the head and neck of the femur in position as it heals.” “With the nail method, the nail is passed into the marrow canal of the bone, and a lag screw is put through the nail. “To repair an intertrochanteric fracture, we use either an intramedullary nail or compression hip screw,” says Sparling. We often refer to this as replacing the ball and socket.” “Whereas, a total hip replacement involves replacing the head of the femur and the acetabulum. “Hemiarthroplasty involves replacing the head of the femur,” says Sparling. “With older patients with displaced fractures which have a higher likelihood of damaging the blood supply to the head of the femur, we usually recommend a replacement surgery.”ĭepending on the age and activity level of the patient, a Rebound surgeon may recommend hemiarthroplasty or a total hip replacement. “With intracapsular fractures, our focus is typically to repair the fracture with multiple screws or one large compression hip screw,” says Sparling. Surgery is typically the best method of treatment for hip fractures, but the type of surgery needed depends on the type of fracture.” “It is best to visit with a doctor immediately if you believe you’ve broken a hip. “When left untreated, hip fractures cause pain and immobility resulting in serious health problems, particularly if a patient is older,” says Sparling. “Although hip fractures are categorized in the three levels above, extreme cases can involve fractures in multiple areas of the hip,” says Sparling. Subtrochanteric Fractures – break occurs below the lesser trochanter or further down the femur.Intertrochanteric Fractures – break occurs between the greater trochanter and lesser trochanter.Intracapsular Fractures – break occurs below the ball or in the neck of the femur.The three most common types of hip fractures are: Pain level in the hip with attempts at mobility.Current overall health and ability to tolerate surgery.Like with any surgery, Rebound hip specialists first assess the patient’s: To determine the type of surgery needed to treat a hip fracture, surgeons must also consider other bones and tissues that may have been affected from the fracture. “The treatment of hip fractures depends on the severity and location of the break in the upper section of the femur, also known as the thighbone,” says Sparling. Edward Sparling, a board-certified orthopedic surgeon and hip specialist, explains how hip fractures are treated below. Our team of hip surgeons diagnose hip conditions and prescribe effective treatment plans designed to fit our patients’ needs and goals, whether that involves surgical or occasionally non-surgical treatment. Most often, hip fractures are the result of a fall or other impact to the hip. Online Guide to Hand & Upper Extremity Care.Athlete and Parent's Online Guide to Sports Medicine.
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