Fracture Neck of Femur / Femoral Neck Fracture

Frequently Asked Questions

1. Which doctor should I consult for a hip fracture?

You should consult an Orthopedic surgeon.

2. Which bone is involved in hip fracture?

The upper part of the thigh bone (femur) is involved.

3. What are the reasons hip fracture is common in elderly women?

Generally, hip fractures occur in the elderly, due to factors such as weak bones, defective vision, unsteady gait, hypotension or medications that they may be taking causing dizziness.

In women, osteoporosis or decreased bone density occurs after menopause due to reduced levels of estrogen, increasing the risk of fracture.

Decreased testosterone levels in men can also decrease bone density.

4. Do all hip fractures need surgery?

An undisplaced fracture where the two pieces of bone remain properly aligned may be initially treated non-surgically, by following complete non-weight bearing on the injured side. If pain persists or the x-ray hip taken to monitor the patient shows expansion of the fracture, surgery is indicated.

Displaced fractures will generally require surgery, unless contraindicated.

5. What surgery is usually done in the elderly with hip fracture?

Experience has shown that hip replacement offers more benefit post-operatively in the elderly who are fit and cognizant enough to undergo surgery

6. What are the complications one can get after hip surgery.

Bleeding and hematoma formation at the fracture site, infection, pneumonia and urinary retention may occur.

Prolonged immobilisation may cause deep vein thrombosis and carries risk of pulmonary embolism.

7. Does recovery from a hip fracture take long?

It depends. The age, pre-fracture state of health, and severity of fracture, all play a role in recovery time. In general, it may vary between 3 to 6 months.

The key to quick recovery is early mobilisation, within 1- 3 days. Rehabilitation program is very essential, both physical therapy as well as occupational therapy.

8. What are some of the things one can do must follow at home to hasten recovery and avoid future falls?

It is very essential to continue the muscle strengthening and balance training exercises as instructed by the physical therapist. The house should be fall-proofed.

Use of cane or walker to reduce risk of falling.

It is important to take Calcium and Vitamin D supplements regularly.