Hip fractures are very common orthopedic injuries these days. They are more commonly seen in elderly with weak bones- osteoporosis. Furthermore, as age advances, the chances of domestic falls increase due to poor grip and vision loss. Hip replacement is the complex but best option f
Hip fractures assume significance, as they occur in age groups where other medical problems. The problems are like diabetes, hypertension, heart problems, are common. Any hip fracture can potentially confine the patient to bed for a day together. This further predisposes the patient to clots in leg- deep vein thrombosis DVT, lung infection, bed sores and urinary infections.
Femur neck is the area of the junction of the ball of the hip with the thigh bone. This area assumes significance as it is a common site of hip fracture. Femur neck fracture at all age groups is manage surgically. Non operative management is reserve only for the extremely high risk candidates.
Half Hip Replacement Case
Presented here is a 76 yrs. old female who had a fall while on her morning walk. She suffered a fracture neck of femur on the left side. Additionally she was suffering from Parkinsonism, diabetes, hypertension and was on blood thinners. In such elderly patients with comorbidities, any surgical procedure must precede by a thorough workup. It includes anesthetist, general physician and cardiologist consultation. She puts on for surgery after stabilization and all necessary clearances. The fracture ball is remove and a new one inserted, with an implant inserted into the canal of thin bone. The cup side of the hip joint was healthy and not touched. The postoperative period was uneventful. He was made to stand the day after surgery and made to walk the next day.
The whole idea of this procedure is to help patients gain painless mobility as early as possible after hip fracture. This is achieve in this lady.