How is a hairline hip fracture treated
Q&A - Hip Fracture Treatment
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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
you
