Hip Fracture

A hip fracture is a break in the upper part of the thighbone (femur), most commonly occurring in the femoral neck or intertrochanteric region near the hip joint. Hip fractures are serious injuries that typically require urgent surgical treatment to restore function and prevent complications.

Most hip fractures occur in older adults, often as a result of a fall, though they can also result from high-energy trauma in younger patients. The fracture disrupts the blood supply to the femoral head, which can lead to avascular necrosis if not properly treated. Prompt diagnosis and treatment are essential for optimal outcomes.

At Mountain Spine & Orthopedics, our hip specialists provide urgent evaluation and treatment for hip fractures, using advanced imaging including X-rays and CT scans to assess the fracture pattern and guide surgical planning. We offer both minimally invasive fixation and joint replacement options depending on the fracture type and patient factors.

• Severe pain in the hip or groin that worsens with movement
• Inability to bear weight on the affected leg
• Bruising and swelling around the hip
• Outward rotation of the leg (the foot points outward)
• Shortening of the leg on the affected side
• Difficulty moving the hip or leg
• In some cases, the leg may appear deformed

Several factors increase the risk of hip fractures:

• Advancing age, as bone density decreases and fall risk increases
• Osteoporosis, which weakens bones and makes them more susceptible to fracture
• Previous fractures or falls
• Certain medications that affect bone density or balance
• Medical conditions that affect balance, vision, or cognitive function
• High-energy trauma, such as motor vehicle accidents or falls from height
• Certain activities or occupations with high fall risk
• Poor nutrition or vitamin D deficiency

Hip fractures are medical emergencies requiring immediate evaluation. Diagnosis begins with a thorough physical examination and assessment of the mechanism of injury. Our specialists look for signs of fracture including pain, inability to bear weight, and leg positioning.

X-rays are essential to confirm the diagnosis and assess the fracture pattern. We may also use CT scans or MRI to provide additional detail about the fracture, assess for associated injuries, and guide surgical planning. Early diagnosis and treatment are crucial for optimal outcomes and preventing complications.

Surgical Treatment Options

Most hip fractures require surgical treatment to restore function and allow healing. The specific procedure depends on the fracture type, location, and patient factors:

For stable fractures in younger patients, internal fixation using screws, plates, or rods may be performed to hold the bone in place while it heals. This minimally invasive approach preserves the native hip joint.

For displaced fractures or fractures in older patients with poor bone quality, hip fracture surgery may involve total hip replacement or hemiarthroplasty (replacing only the ball portion) to provide immediate stability and allow early weight-bearing. This approach reduces the risk of complications and allows for faster recovery.

Hip fracture pain is typically severe and immediate following the injury, often described as intense, sharp pain in the hip or groin that makes movement extremely difficult or impossible. The pain is usually constant and worsens significantly with any attempt to move the leg or bear weight.

Prompt surgical treatment not only addresses the fracture but also provides significant pain relief. Following surgery, pain management is a priority to allow for early mobilization and rehabilitation, which are essential for optimal recovery and preventing complications.

Several strategies can help prevent hip fractures:

• Maintaining bone health through adequate calcium and vitamin D intake
• Regular weight-bearing exercise to maintain bone density
• Fall prevention measures, including removing hazards from the home and improving lighting
• Addressing vision problems and using assistive devices if needed
• Reviewing medications that may affect balance or bone density
• Treatment of osteoporosis if present
• Using hip protectors in high-risk individuals
• Maintaining strength and balance through regular exercise

If you've experienced a hip injury or fall and suspect a fracture, seek immediate medical attention. For evaluation and treatment of hip fractures, contact Mountain Spine & Orthopedics urgently. We provide prompt evaluation and surgical treatment when needed. Emergency and same-day appointments are available.