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Hip Fracture Surgery: What to Expect and Why It's Important
Published: Apr 01, 2024
Hip fracture surgery is a crucial step in recovery for most patients. Understanding the types of procedures and what to expect can help ease anxiety and improve outcomes.
Types of Hip Fracture Surgery
There are two main approaches to hip fracture surgery: internal fixation and hip replacement. Internal fixation uses screws, plates, or rods to hold the broken bones together while they heal. Hip replacement involves removing the damaged parts of the hip and replacing them with artificial components. The choice depends on the fracture type, location, and the patient's overall health.
Preparing for Surgery
Before surgery, patients undergo medical evaluations to ensure they're healthy enough for the procedure. This may include blood tests, heart checks, and reviewing medications. Patients are usually advised not to eat or drink for several hours before surgery. The surgical team will explain the procedure and answer any questions.
The Surgery and Recovery
Hip fracture surgery is typically performed under general anesthesia or spinal anesthesia. The procedure usually takes 1-2 hours. After surgery, patients are monitored in a recovery room before being moved to a hospital room. Pain management, early mobilization, and physical therapy are key parts of the recovery process. Most patients stay in the hospital for a few days to a week.
Long-term Outlook
Recovery from hip fracture surgery can take several months. Physical therapy plays a crucial role in regaining strength and mobility. While many patients return to their previous level of function, some may need ongoing support or assistive devices. Regular follow-ups with the surgeon are important to monitor healing and address any complications.
Frequently Asked Questions
Usually within 24-48 hours, if the patient is medically stable.
All surgeries have risks, but benefits usually outweigh them.
Full recovery can take 3-6 months or longer.
Most patients use a walker initially, then transition to a cane.
Surgery is usually recommended, but some cases may be managed non-surgically.
The Bottom Line
Hip fracture surgery is a vital step in recovery, offering the best chance for regaining mobility and independence.
References
- HEALTH Investigators, Bhandari M, Einhorn TA, et al. Total Hip Arthroplasty or Hemiarthroplasty for Hip Fracture. N Engl J Med 2019; 381:2199.
- Mears SC. Classification and surgical approaches to hip fractures for nonsurgeons. Clin Geriatr Med 2014; 30:229.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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