Reality of Hip Fractures in the Elderly

November 1, 2024

Author : Dr. Venkatdeep Mohan

Slips, Trips, and Broken Hips: The Reality of Hip Fractures in the Elderly

As an orthopedic surgeon specializing in geriatric trauma, hip and joint reconstruction, I’ve seen firsthand the impact of hip fractures on elderly patients and their families. A simple slip at home or trip while walking can lead to a life-altering injury, compromising independence, mobility, and overall quality of life.
Many hip fractures can cause significant difficulty and often need surgical management. The need for surgical management of hip fractures is to allow early mobilization and prevent elderly from getting bedridden. Decreased mobility in the elderly can cause significant medical issues and increase morbidity and mortality.

The Alarming Statistics

• 1 in 3 adults aged 65+ experience a fall each year (CDC)
• Over 500000 hip fractures occur annually in India
• Hip fractures are the leading cause of injury-related mortality in older adults (National Institute on Aging)

The Consequences of Hip Fractures
Hip fractures can have severe consequences, including:

• Chronic pain and disability
• Loss of mobility and independence
• Increased risk of secondary medical complications (pneumonia, pressure sores)
• Cognitive decline and depression
• Increased mortality risk (20-30% within 1 year)

Surgical Options for Hip Fracture Management
As a surgeon, my primary goal is to restore patients’ mobility, alleviate pain, and promote rapid recovery. Surgical options vary depending on fracture type, patient health, and bone quality:

1. Hemiarthroplasty: Replacement of the femoral head (ball part of the hip joint) with an artificial component.
2. Total Hip Arthroplasty (THA): Replacement of both the femoral head (ball part of the hip joint) and acetabulum (cup part of the hip joint).
3. Internal Fixation: fixation of the fracture using screws, plates, or rods.
4. Peri-prosthetic fracture repair: Complex reconstruction for fractures around existing implants.

Case Studies and X-Rays

Case 1: 82-year male patient sustained an intertrochanteric fracture for which he was operated by proximal femoral nailing and made to walk the next day.

Case 2: 78-year Female patient sustained an intertrochanteric fracture for which she was operated by proximal femoral nailing and made to walk the next day.

Case 3: 81-year Female patient sustained a displaced neck of femur fracture for which she was operated by bipolar hemiarthroplasty and made to walk the next day.

My Role as a Surgeon

As an orthopedic surgeon, my role extends beyond surgery. I work closely with patients, families, and healthcare teams to:

• Provide compassionate care & support
• Develop personalized treatment plans
• Ensure optimal surgical outcomes
• Facilitate rehabilitation and recovery
• Promote preventive measures to reduce fall risk

Prevention is Key

While surgery can effectively manage hip fractures, prevention remains the best strategy. Simple measures can significantly reduce fall risk:

• Regular exercise and physical therapy
• Fall-proofing living spaces
• Medication management
• Vitamin D and calcium supplementation
• Regular bone density screenings with DEXA scan

Conclusion

Hip fractures in the elderly are a growing concern, requiring prompt attention and effective management. As a surgeon, I’m committed to providing expert care, restoring mobility, and improving quality of life for patients affected by these injuries.

Consultation

If you or a loved one has experienced a hip fracture, seek immediate medical attention. Schedule a consultation with an orthopedic specialist to discuss treatment options and begin the journey to recovery.

Disclaimer Statement: The contents of the website is not meant to replace an in-person consultation. Please follow the advice of your doctor via in-person consultation. This website will not assume any legal responsibility for the patient’s medical condition.