Hip Fracture Surgery and Bipolar Hemiarthroplasty in Surat

A hip fracture is a break in the upper end of the thigh bone, close to the hip joint. In older adults it usually follows a fall on weaker bone. In younger people it is more often a high-energy injury.

There are two common types. A femoral neck fracture lies inside the joint capsule, and its blood supply may be damaged. An intertrochanteric fracture lies just below the neck, in the outer part of the upper thigh bone. The type largely decides the operation.

Typical signs are hip or groin pain after a fall, especially if you cannot put weight on the leg or the leg looks shorter or turned outwards. Some broken hips can still bear weight, so do not wait to see if it settles. If this happens after a fall, do not wait for an OPD appointment: emergency admissions for hip fracture are accepted at Mahavir Health Campus, Athwa Gate, Surat. If you cannot reach Surat quickly, go to the nearest hospital emergency department.

The surgeon decides after seeing the X-rays and assessing the patient. In general:

Fracture pattern, bone quality, walking before the fall and other illnesses all weigh in. Whether a total hip replacement or a hemiarthroplasty is used is decided case by case, on the patient's activity, bone quality and medical fitness.

Before surgery the team arranges blood tests, an ECG and a medicine review. Spinal anaesthesia is commonly used, as decided by the anaesthetist.

After surgery, patients are usually helped to sit up and stand with a physiotherapist on the first or second day, using a walker. After a hemiarthroplasty, full weight on the leg with a walker is usually allowed early; after fixation, the surgeon tells you how much weight you may put on the leg.

Blood-thinning medicine and leg exercises reduce clot risk. Patients usually stay about 5 to 7 days in hospital, then continue physiotherapy for weeks to months. After a replacement, precautions depend on the approach. Dr. Aman uses either a posterior approach or an approach from the side or front of the hip, chosen by age and bone quality. The side or front approach lowers the risk of dislocation, so movement precautions may not be needed in older patients with fragile bones; after a posterior approach, some precautions are usually needed for about 3 to 6 weeks.

A hip fracture from a simple fall is often a sign of weak bones. A bone health assessment, vitamin D and calcium review, and fall prevention at home are part of aftercare.

Seek emergency care at once after a fall with hip or groin pain, even if you can still stand on the leg. For a follow-up, see an orthopaedic surgeon if there is wound discharge, increasing pain, new swelling or redness, leg swelling or breathlessness. Other fractures are on the fracture page; a problem with an earlier replacement is on the revision page.