Hip Fractures

Diagnosis

Dr. Jonathan Oheb can determine that you have a hip fracture based on your symptoms and the abnormal position of your hip and leg. An X-ray usually will confirm that you have a fracture and show where the fracture is.

If your X-ray doesn’t show a fracture but you still have hip pain, your doctor might order an MRI or bone scan to look for a hairline fracture.

Most hip fractures occur in one of two locations on the long bone that extends from your pelvis to your knee (femur):

• The femoral neck.This area is situated in the upper portion of your femur, just below the ball part (femoral head) of the ball-and-socket joint.
• The intertrochanteric region.This region is a little farther down from the hip joint, in the portion of your upper femur that juts outward.

Surgery

The type of surgery you have generally depends on the where and how severe the fracture is, whether the broken bones aren’t properly aligned (displaced), and your age and underlying health conditions. The options include:

• Internal repair using screws.Metal screws are inserted into the bone to hold it together while the fracture heals. Sometimes screws are attached to a metal plate that runs down the femur.
• Total hip replacement.Your upper femur and the socket in your pelvic bone are replaced with artificial parts (prostheses). Increasingly, studies show total hip replacement to be more cost-effective and associated with better long-term outcomes in otherwise healthy adults who live independently.
• Partial hip replacement.If the ends of the broken bone are displaced or damaged, your surgeon might remove the head and neck of the femur and install a metal replacement. Partial hip replacement might be recommended for adults who have other health conditions or cognitive impairment or who no longer live independently.

Dr. Oheb might recommend partial or total hip replacement if the blood supply to the ball part of your hip joint was damaged during the fracture. That type of injury, which occurs most often in older people with femoral neck fractures, means the bone is less likely to heal properly.