So, you’ve broken your hip. Whether it was from a fall, a blow to your hip, or something else, you’ll do best if you have surgery right away. But first, your doctor might want to do some tests to make sure you’re strong enough for the procedure. Your treatment will likely combine surgery, rehab, and meds to help you
manage pain. Your doctor will judge your health and the way you broke your hip to decide which of the following methods is best: Hip replacement options are good choices if the fracture damages the
blood supply to the ball part of your hip joint. This is the part that lets your upper leg bend and rotate. Not having enough blood supply keeps the bone from healing as well. You might.
Or you could choose to go straight to a rehab facility where you can start your recovery treatment right away. You’ll probably need help getting out of bed the day after your operation. A physical therapist will work with you for as long as you need to get strong and walk again. This can take as long as 3 months. Your doctor will help you manage it so you can feel better and heal faster. They’ll give you short-term
pain relief medicine. They’ll likely combine drugs that keep down swelling and local anesthetics that numb the surgery site. Most patients need to take medicine to thin their blood. This cuts down the chances of having blood clots. Special compression socks or boots that support your leg and improve blood flow can help, too. Your doctor might be wary of prescribing drugs called opioids. These are narcotics that relieve pain by blocking the signal to your brain. They work but can be very addictive. It’s important to take
them only as instructed. As soon as the pain gets better, stop. During your appointments after surgery, your surgeon will check the wound, remove any stitches, and take X-rays. They’ll see how your physical therapy is going and decide whether you need more. An
occupational therapist can help you get back in the swing of daily life, too. This can include practical things like bathing, dressing, cooking, and going to the bathroom. You’re likely to get back much -- and maybe all -- of the freedom and mobility you had before. About 20% of people who have a hip fracture will have another within 2 years. You may lower the chances of this by figuring out what caused it
the first time. A drug called a bisphosphonate can reduce your risk. It stops your bones from getting weak. But if you take it by mouth, it can have side effects. Your doctor might want you to have it through an IV tube. Hip fractures are cracks or breaks in the top of the thigh bone (femur) close to the hip joint. They're usually caused by a fall or an injury to the side of the hip, but may occasionally be caused by a health condition, such as cancer that weakens the hip bone. Falls are very common among older people, especially in people aged 80 and
over, who may have reduced vision or mobility and balance problems. Hip fractures are also more common in women, who are more likely to get osteoporosis, a condition which makes bones weak and fragile. Symptoms of a hip fracture after a fall may include: A hip fracture will not necessarily cause
bruising or prevent you from standing or walking. If you think you've fractured your hip, you'll need to go to hospital as soon as possible. Call 999 and ask for an ambulance. Try not to move while you're waiting for the ambulance and make sure you keep warm. If you've fallen, you may feel shaken or shocked, but try not to panic. Try to get someone's attention by:
Find out more about what to do after a fall. Hospital assessmentAfter arriving at hospital with a suspected hip fracture, your overall condition will be assessed. The doctor doing the assessment may:
Depending on the outcome of your assessment, you may be given:
The healthcare professionals treating you will make sure you're warm and comfortable. After a while, you may be moved from the emergency department to a ward, such as an orthopaedic ward. To confirm whether your hip has been fractured, you may have imaging tests such as:
Treating a hip fractureSurgery is usually the only treatment option for a hip fracture. The National Institute for Health and Care Excellence (NICE) recommends that someone with a hip fracture should have surgery within 48 hours of admission to hospital. However, surgery may sometimes be delayed if the person is unwell with another health condition and treating that condition first will significantly improve the outcome of their hip surgery. In about half of all cases, a partial or complete hip replacement is needed. The other cases require surgery to fix the fracture with plates and screws or rods. The type of surgery you have will depend on several factors, including:
Find out more about treating a hip fracture. Recovering from hip surgeryThe aim after surgery is to speed up recovery to help you regain mobility. The day after surgery, you should have a physiotherapy assessment and be given a rehabilitation programme that includes realistic goals for you to achieve during your recovery. The aim is to help you regain your mobility and independence so you can return home as soon as possible. How long you'll need to stay in hospital will depend on your condition and mobility. It may be possible to be discharged after around 1 week, but most people need to stay in hospital for around 2 weeks. Evidence suggests that prompt surgery and a tailored rehabilitation programme that starts as soon as possible after surgery can significantly improve a person's life, reduce the length of their hospital stay and help them recover their mobility faster. Find out more about recovering from a hip fracture. It may also be useful to read our guide to social care and support services, which is not only for people with care and support needs, but their carers and relatives too. It includes information and advice on:
Complications of hip surgeryComplications can happen from surgery, including:
Your surgeon should discuss these and any other risks with you. Preventing hip fracturesIt may be possible to prevent further hip fractures by taking steps to prevent falls and by treating osteoporosis. You can reduce your risk of falling by:
Find out more about preventing falls. Hip protectorsHip protectors can be used to reduce the impact of a fall and are particularly useful for preventing hip fractures in older people. Hip protectors are padded material and plastic shields attached to specially designed underwear. The pads absorb the shock of a fall and the plastic shields divert the impact away from vulnerable areas of the hip. In the past, one of the biggest issues with hip protectors was that many people found them uncomfortable and stopped wearing them. Modern hip protectors have tried to address this by having a more comfortable fit and additional features, such as ventilation to reduce sweating. NICE suggests hip protectors may be useful for older people in care homes who are at high risk of a fall. They're thought to be less effective for elderly people who remain active and live in their own home. Read the full NICE guideline on falls: assessment and prevention of falls in older people. The FRAX toolThe World Health Organization (WHO) has developed a fracture risk assessment tool to help predict the risk of fracture for people aged 40 to 90. The tool is based on bone mineral density (BMD) and other risk factors such as age, sex and certain health conditions. Information: Social care and support guideIf you:
Our guide to social care and support explains your options and where you can get support. Page last reviewed: 03 October 2019 What helps a broken hip heal faster?Heal faster after hip fracture surgery with the following tips and tricks:. Use an abductor pillow to separate the legs when lying down.. Keep the head of the bed elevated at 45 degrees.. Do not flex your hip more than 90 degrees.. Avoid crossing your legs.. Consider raising your toilet seat using an assistive device.. Can you still walk with a broken hip?Limited mobility: Most people with a hip fracture can't stand or walk. Sometimes, it may be possible to walk, but it's extremely painful to put weight on the leg. Physical changes: You may have a bruise on your hip. One of your legs may appear shorter than the other.
How long do you stay in hospital with a fractured hip?How long you'll need to stay in hospital will depend on your condition and mobility. It may be possible to be discharged after around 1 week, but most people need to stay in hospital for around 2 weeks.
How painful is a broken hip?A broken hip is a serious injury that is very painful and can keep you from walking. People with broken hips may be at risk for other problems, such as pneumonia, blood clots, and muscle weakness. Some problems can be life threatening.
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