Q&A - Hip Fracture Treatment


my name is Savio Sachi Tucker I'm an

orthopedic surgeon at Johns Hopkins I

specialize in hip and knee

reconstruction I work at the Howard

County General Hospital hip fractures

are a common condition in the elderly

and also in the active individual if

they 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 they should seek

medical care as soon as possible at the

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 we started the

emergency room optimize patients for

surgery and within 24 to 48 hours we get

patients to the operating room to

perform a surgery to fix their hip

fracture or replace their hip hip

fractures come in several different

shapes and varieties the closer the hip

fractures to the ball part of the hip

bone the more likely that the blood

supply is impacted in that case we would

proceed with a 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 and the third most

commonly used option is to place an

intra medullary nail into the thigh bone

to allow excellent function after the

surgery 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 thighbone to provide

excellent stability and function we

believe in multimodal pain control we do

not rely on just one agent but 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 to also try and achieve

pain control before these procedures at

Johns Hopkins orthopedics in conjunction

with the physical therapist at the

musculoskeletal Center in Columbia we

typically employ activities such as the

zero-gravity treadmill at the

anti-gravity treadmill we also

specialize in water based exercises or

aqua therapy in order to achieve better

outcomes while providing less pressure

to the joint a growing concern that

patients have is metal allergies

especially allergy 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