In majority of cases, a hip fracture requires surgery. In cases where surgery cannot be done because of an illness or other reason - traction may be considered. In such cases without surgery - the treatment for a fracture neck of femur relies primarily on pain reduction.
Both types - fracture neck of femur and the intertrochanteric - fracture is treated by performing surgery. The exact process is slightly different for both the types.
Preparation for Intertrochamteroc Fracture Surgery for Fracture Neck of Femur
The patient is administered with general anesthesia or spinal anesthesia. When sufficient anesthesia has been applied, the patient is transferred to an orthopedic or fracture table for operation.
Process of Intertrochanteric Fracture Surgery for Fracture Neck of Femur
When the fracture is lower on the femur as in an intertrochanteric fracture (having 3 to 4 inches from the head of the femur) an entirely separate procedure is generally facilitated. Doctors will place a metal plate to the side of the femur and place a metal hip contraction screw inside the femur. This compression screw and the plate will allow the bone fragments to compact together and recover themselves.
Femoral Neck Fracture Surgery for Fracture Neck of Femur
With a femoral neck fracture, surgery will basically involve one of three types of procedures: replacing part of the femur, metal screws, or total hip replacement.
Process of Metal Screws in Fracture Neck of Femur
Facilitating metal screws, the surgeon will align the bones and put them in place with three long metal screws which will be left there. These screws will allow the bones to mend back on their own along with strengthening that section of the femur.
Process of Hemiarthroplasty in Fracture Neck of Femur
If the doctors fail to place the bones in place, they will generally attempt a hemiarthroplasty. This will involve removing and replacing the broken neck and head of the femur using a metal prosthesis.
Process of Total Hip Replacement in Fracture Neck of Femur
Total hip replacement is the most aggressive surgery. If for some reason, the socket joint of the hip is broken - total hip replacement might be the ideal remedy. In this procedure, the surgeons will replace the top part of the femur and the joint section of the pelvic bone also. But this surgery has one benefits also, it allows patients to become mobile again faster after the surgery than other surgeries. This can also prevent other complications linked with major surgery from unearthing.
Hospital stays after operation for a hip fracture can differ in length - although the average stay in the hospital lasts for a week. Most of patients may require physical therapy for a long period after the surgery to recuperate completely.