Most people return to their normal activities within 4 to 6 months of the surgery.I'm currently post-op day 4 of surgery. Physical therapy and an exercise regimen are suggested to restore muscle strength, flexibility, and range of motion.ĭepending on your health condition and the extent of the injury, you may be able to go home the same day with scheduled follow-up appointments for monitoring progress and stitches or staples removal if required. You will also be advised on diet and supplements high in vitamin D and calcium to promote bone healing. You will be instructed about dressing and incision care. You will be given instructions on weight-bearing activities and posture management. To ensure that the surgery was successful, you will probably have X-rays done. You may need to take a blood thinner to prevent blood clots. Post procedure, you may notice significant pain and pain medication will be prescribed by your physician to keep you comfortable. After securing the bone, your surgeon will close the incisions by suturing or staples and cover with sterile dressings.Your surgeon may also carry out any other repairs if required.For a fracture in the middle of your femur, your surgeon may utilize a specially designed metal rod that passes through the middle of the bone and screws into both ends of the bone.Your surgeon will secure the fragments of the femur to each other (fixation) by using metal plates, screws, wires, or pins.Your surgeon will put the fragments of your femur back into position (reduction).Your surgeon will locate the fracture by carefully sliding in between the muscles of the thigh.After sterilizing the affected area, your surgeon will make a cut through the skin and muscle of the thigh.The surgery is performed under sterile conditions in the operating room under general anesthesia. Open reduction and internal fixation is a procedure most commonly used to treat severe hip fractures. A discussion about the need to avoid food and drink past midnight the night prior to your surgery.A discussion with your doctor about the medications and supplements you are taking and the need to stop any.A discussion with an anesthesiologist to determine the type of anesthesia you may undergo.Depending on the type of fracture you have sustained, you may be given a tetanus shot if you are not up-to-date with your immunization.X-ray, CT scan, or MRI scan to assess surrounding structures and broken bone.A physical exam to inspect blood circulation and nerves affected by the fracture.Since ORIF is often employed to treat severe fractures, it typically takes place as an emergency procedure. If the X-ray fails to reveal the fracture, then an MRI or bone scan may be ordered to confirm the presence of a hairline fracture. Your physician normally will order an X-ray to confirm the fracture and its position. Most often your physician can determine that you have sustained a hip fracture based on the abnormal position of your hip and leg and your symptoms. Outward or inward turning of the foot and knee of the injured leg.The signs and symptoms of hip fractures include: Long term use of certain medicines, such as bisphosphonates to treat osteoporosis (a disease causing weak bones) and other bone diseases, increases the risk of hip fractures. Hip fractures are most frequently caused after minor trauma in elderly patients with weak bones and by high-energy trauma or serious injuries in the young. The joint surface is covered by a smooth articular surface that allows pain-free movement in the joint. It enables the upper leg to bend and rotate at the pelvis. The “ball” is the head of the femur or thigh bone, and the “socket” is the cup-shaped acetabulum. The hip joint is a “ball and socket” joint. Open reduction and internal fixation (ORIF) is a surgical technique employed for the treatment of a fracture to restore normal anatomy and improve range of motion and function. Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. The lesser trochanter projects from the base of the femoral neck on the back of the thighbone. The thighbone has two bony processes on the upper part - the greater and lesser trochanters. Hip Fracture ORIF What is a Hip Fracture?Ī hip fracture is a break that occurs near the hip in the upper part of the femur or thighbone.
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