hip fracture treatment

My name is Dabasmita Chakrabarti.

I’m an orthopedic surgeon at Johns Hopkins.

I specialize in hip and knee reconstruction.

I work at the Howard County General Hospital.

hip fracture treatment without surgery for the elderly

People also ask

• Can a hip fracture heal without surgery?
• What can be done for a fractured hip?
• Can you still walk with a fractured hip?
• How long does a hip fracture take to heal?

Hip fracture treatment without surgery for the elderly Hip fractures are a common condition in the elderly and

also in the active individual

if were involved in a traumatic episode such as a car crash or a sporting injury or a high-intensity fall.

Typically,

patients with hip fractures are unable to walk,

and medical help is possible.

At Johns Hopkins Howard County General Hospital,

we have a hip fracture service that specializes in caring for patients with hip fractures the moment they enter the emergency room.

hip fracture treatment without surgery in elderly

We start in the emergency room,

optimize patients for surgery,

and within 24 to 48 hours we get patients to the operating room to perform surgery to fix their hip fracture or to replace their hip.

Hip fractures come in different shapes and varieties.

The closer the hip fracture is to the ball part of the hip bone,

the more likely that the blood supply is impacted.

In that case,

we would proceed with hip replacement surgery to give a patient a brand new joint.

If the fracture is away from the ball and the blood supply is not compromised,

we could treat the fracture with fracture fixation devices to allow excellent mobility without compromising the function of the joint.

One option is using multiple screws placed inside the bone.

A second option is to use a screw and plate construct.

non-surgical treatment for hip fracture

And the third most commonly used option is to place an intramedullary nail into the thigh bone to allow excellent function after the surgery.

The application of fracture fixation devices is typically performed in a minimally invasive fashion.

In some cases,

the socket is not involved in a hip fracture and we can preserve the patient’s native socket by performing a partial hip replacement surgery.

In that case,

we only replace the ball and place a titanium implant into the femur

or thigh bone to provide excellent stability and function.

We believe in multimodal pain control.

• We do not rely on just one agent where we have a combination of agents such as anti-inflammatories,
• nerve-related medications,
• opioids,
• nerve blocks to help patients recover faster from their procedures and also try to achieve pain control before these procedures.

At Johns Hopkins orthopedics,

• in conjunction with a physical therapist at the musculoskeletal center in Columbia,
• we typically employ activities such as the zero-gravity treadmill,
• the anti-gravity treadmill.

We also specialize in water-based exercises

or

aqua therapy in order to achieve better outcomes while providing less pressure on the joint.

• A growing concern that patients have is metal allergies,
• especially allergies to the implants that we use in hip and knee procedures.

In the hip,

the metal is titanium and patients are not allergic to titanium.

have fractious types and fixation this is a quick review of the hip fracture types and their fixation the hip fracture can be a femoral neck fracture

which is called sub-capital fracture

or

an inter token Taric

or

subtrochanteric fracture the femoral neck fracture which is sub capital fracture there’s a high incidence of Aversa necrosis a non-union there’s high mortality in the elderly and the treatment

if it is non displaced you

would do the painting by cannulated screws for the young and for the elderly and hip fracture in the elderly

if it is displaced in a young patient your hip fracture recovery exercises

conservative treatment of hip fracture

will do reduction either closed reduction

or

open reduction followed by painting with cannulated screws displays in the elderly you

will do prosthesis either bipolar newly polar

or

a total help you it’s not advisable to do clothes reduction and screw fixation in displays sub capital fracture in the elderly now

we go to the intertrochanteric fraction there are two types of regular type regular intertrochanteric fracture the regular intertrochanteric fracture

he can’t eat it with a compression help screw

or

Intelli middle nailing some people prefer a long email but usually heated by a short nail

broken femur in elderly no surgery

if you put long nail make sure you don’t perforate the anterior cortex of the distal femur the reverse of like 1/8 the

one that affects the lateral cortex of the femur and the treatment usually by intermediary name some people prefer blade plate

or

fixed-angle plate but the majority of cases are done by

I am riding do not use compression help school with the reverse of like fracture there conservative treatment of hip fracture

will be medial displacement of the fracture due to the pull of the abductor’s muscle it is not a suitable device for the reverse of like fracture

how about subtracting enteric fracture the fracture line extends distally to the lesser trochanter the fracture is subjected to a high-stress load and non-union can occur

here quite frequently the subdue content region has a hard cortical bone that doesn’t heal very.

well,

the majority of cases are treated by an interim Midori nail some people still use compression head screw but it is not commonly used and there is a higher chance of non-union you may want to do these cases closed.

so you preserve the blood supply and the healing ability of the fracture thank you very much I hope that was helpful to you.

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