Hip Fractures - Everything You Need To Know

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Hip fractures are discussed including relevant anatomy, risk factors, different types of hip fractures, operative procedures, complications, and more.
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[@JanuarieTimewalker13]

I had a femoral neck fracture in August of 2016. Fainted, fell off step and hit cement and bluestone. Age at that time 54 1/2. Had fixation with three pins in Jersey hospital. One pin slipped out of place by 1st follow up. Walked with limp, did PT, etc, Fast forward, Spring 2017, a lot of pain. Decided to go to NYPH in June, top doc tells me pin scratching cartilage must come out. Within 8 days of learning that, had all pins out. Had to let holes heal a bit, then started PT in mid September. This has been the longest road of my life. I wish I could turn back time. Was dehydrated and hungry at the time of fall. I’m hoping eventually I will be healed, but I’m losing faith. Have Beta Thalassemia Major, so that complicates things, and osteoporosis. Mobility is priceless, just want to get back to where I was. Word to the wise: Always stay hydrated and well nourished. Thank you for posting this video🖖🏽

[@TalkingWithDocs]

Hi Linda. That is quite the journey. Glad you have such a positive outlook. Hopefully the road ahead is going to be easier. Keep strong. And stay active! Thanks for watching!

[@JanuarieTimewalker13]

Talking With Docs Thank you for the encouragement. I forgot to mention I had Non Hodkins Lymphoma in 2008. That was far less oppressive than this has been, believe it or not. I have a whole new respect for the muscular skeletal system. Blessings to good doctors✨💫

[@jeffpiatt3879]

This is one of the best and honest vidoes on youtube. Thank you for your candor.

[@TalkingWithDocs]

Very welcome Jeff. Hope it was helpful. Thanks for watching and subscribing if you did

[@darlenericotta7550]

Thanks again Docs, I learned a lot from this video! Good to see you two again!

[@TalkingWithDocs]

You too Darlene. Thanks for watching and subscribing

[@maeraynor8134]

my mother broker her hip today. she's 65. this was helpful in knowing what to expect, all around. thank you

[@TalkingWithDocs]

Glad it helped Mae. All the best to your mom. Thanks for watching and subscribing

[@katechurcher4830]

That was a rough one. Thank you for the straight forward approach to this topic.

[@TalkingWithDocs]

Doing our best. Welcome

[@ok7460]

My 82-year-old mother-in-law has fractured her hip today. She's awaiting surgery this evening. We're hoping and praying everything goes smoothly as well as rehab. Quite overwhelming and will be a bit of a journey ahead. Thank you for this informative video.

[@TalkingWithDocs]

You are very welcome OK. Best of luck to your mother in law. Thanks for watching and subscribing

[@saraswati999]

So informative thank you !

[@TalkingWithDocs]

Very welcome Sara6. Thanks for watching and subscribing if you did

[@saraswati999]

@@TalkingWithDocs yep i just did 😃

[@ToddMarshtoddalanmarsh]

Thanks!!!

[@TalkingWithDocs]

Hi Todd. You are very welcome.

[@hhaueter255]

Hi Docs. Love your channel. I’m a young 61 yrs old. 2021 was a challenging year in that I had both knees replaced at the same time in April. Thanks to your videos I did all the pre surgery pt and post op pt and recovered well. I was even golfing at the six week mark. Then after one of my best rounds of golf in December I fell and broke my right hip. Had surgery to repair with the long screws but it was very difficult to stay down for the six weeks after surgery. It’s now March and I’m barely walking without cane/walker. I really hope I don’t have to go back in to have the screws removed but if so how long of a recovery for that? Haven’t swung the clubs yet but hoping all will be ok for the upcoming season. I haven’t checked all videos but any tips on getting me back to my game? Thanks for your videos

[@TalkingWithDocs]

Hi h. Sorry to hear that. Best to get an X-ray and make sure things are healing ok and continue with the physio. Best of luck on the links. Thanks for watching and subscribing

[@tamsinthai]

I buggered over a lump of concrete here in Thailand and sustained an inter-trochanteric hip fracture around three weeks ago. I bought a walker and was walking perfectly okay with modicum pain up until my follow up when the surgeon said I must use a wheelchair as the bone had moved slightly 0-0 and, in the case of my soft bones (age 66) may need another op if it worsens. Gah. Anyway, I told him I live alone and wheelchair out of the question. He told me I could carry on using the walker but not to put any weight on my leg. Your vid has just confirmed that which I'd suspected in that NO exercise at all would have resulted in more problems with DVT etc. I've always been very active and don't look (nor act) my age :D A friend in the UK is sending me a 'hip brace', a sort of one legged stocking type thing. You think this might help, or worsen the fracture by maybe shifting the break? Ta :)

[@TalkingWithDocs]

Hi tamsinthai. Sometimes with osteoporotic bone fixation of fractures can be difficult and can change position over time. The thought behind reducing or limiting your weightbearing is to allow the bone time to heal before stressing it with walking. Sometimes good enough fixation cannot be attained to allow early mobilization. Every case is very different. Hope that helps.

[@tamsinthai]

+Talking With Docs Thanks for the response. Last visit showed up fracture beginning to heal. I know it takes time, I think my doctor worrying too much :D Btw, jettisoned the brace, far too uncomfortable. Thanks again. Btw, he was really keen to get me on an injectible drug called Forteo, incredibly expensive and not much info on the net but the few user reviews there are have cited horrific side effects including pain (more pain), nausea and possible bone cancer! (I wondered why he asked if there were any cancer in my family). You have any experience with it?

[@Rosary716]

Maybe you remember me? Left TKR 3/1/21. As of May 20 through 10 months of pt and constant problems, I bent to 90 degrees and was finally walking correctly and quickly. Then 5/31/22, I tripped at an exercise facility (for knee) and broke left hip. I’m in shock. Total shock. Had repair surgery with three screws in femoral neck. Why don’t they just tell me, “it could be worse” ? So I can scream. I’m 75 in a month. I was paranoid about not falling in managed not to fall through the worst of this. I had JUST begun using the elliptical after finally being able to cycle. If the surgeon thought he’d talk me into a knee revision, that’s never going to happen. I do not have osteoporosis, no dementia, not obese. I’ve taken every measure available to heal the knee. I’ve suffered a hell of ongoing pain with no help. It’s a neck fracture. Had surgery within five hours. I tried to get them to let me go home without surgery. Unsuccessful. I’m told I have PTSD from the knee pain. I’m not sure I can start over like this.

[@TalkingWithDocs]

Hi Maryland. So sorry to hear this but you can persevere. By definition though if you felll and broke your hip you have osteoporosis. You should talk to your doctor. Best of luck during your recovery. Thanks for watching and subscribing

[@trilbyarnold3341]

Good information. At some point I would like to see information on how a hip fracture or any serious fracture affects the whole body even when surgery is within the 48 hour window. However, after reading the sad stories of some of the patients I want to present a hopeful story. I was/am a very active person with a passion for hiking and back packing. I back packed solo on the John Muir Trail when I was 78 and was told I was the oldest solo woman to do so. In the last month of my 79th year I suffered a traumatic fall and broke my hip. It was a clean break in the femoral neck and repaired with a partial hip replacement. Never any post op pain. Pain came in the stiff tendons, etc after the postural restrictions were lifted. The surgeon fixed a crooked pelvis and a discrepant leg length I had suffered since age 5 after polio. Recovery went along at a fairly good pace and mostly forging ahead. dispite predictions that I would not regain all my pre fall function at 9 months I was hiking again in steep mountain canyons and am up to 20 lbs in a back pack at 12 months. I am about to turn 81. I did PT 2x week for 21 sessions and worked dilligently with exercises at home. I still do some of the exercises just to keep limber. The body's energy output caused me lose 18 lbs . I am a small woman. Nutritionally I focus on protein for muscle, calcium including a supplement called "grow bone" , potassium and just nutritional density. I feel so very grateful to be in the 25% group of fully recovered seniors. I now wear a phone and whistle from a neck lanyard and always when outdoors have a hiking staff or cane in my hand to stop any fall. I am expected to live into my 100s. 3 of my close relatives including my father died within 6 months of fracturing their hips all were in their 80s and had co morbidities including dementia so folks were scared for me. I had an excellent surgeon and fantastic physical therapists who saw me through recovery including a few set backs. Full recovery is possible.My surgeon is certain he will be doing the other hip in time. Nope, tried it once, didn't like it and am doing everything to rebuild bone and to avoid falls, including wearing snow boarder's armored shorts and knee pads.

[@TalkingWithDocs]

Thanks for taking the time to share your amazing story. So glad you are ok. Thanks for watching and subscribing

[@lawrenceterbell4496]

Hi Trilby, I am a very active male who had a femoral neck fracture of the left hip in a bike accident. I was 64 yrs old and I was told that I had a clean break. I was hoping to keep my own joints but my surgeon gave me a partial hip replacement. My hip was very stiff for a long time after surgery but loosened up after about 9 months. I still had terrible pain and stiffness if I walked for any distance. At night, I had difficulty sleeping but the pain and stiffness would go away after a few days. I went to my surgeon and we decided to have another surgery for a full hip replacement. This second surgery was 16 months ago. My second surgeon told me I was already starting to develop arthritis from the partial replacement. I suppose I am doing fairly well after the second surgery compared with others who have commented here. I can now walk pretty well without pain, swing a golf club, play tennis. I have lost some flexibility and mobility and I am not able to run as well as I would like. I am doing as much rehab in the gym as possible. I run on the turf for about 20 yards and I have a slight limp. At least I can do jumping jacks and jump roap without any pain. I can do walking lunges while holding a 25 lb dumbell. I am trying to regain all the strength in my left hip. It's a slow process. I am determined to retain my old function, but I still wish I could rehab with my own joints and retain all my function and flexibility. I don't like having a metal joint. I have previously rehabbed frozen shoulder, knee cap pain and hip flexor tendonosis, but I prefer to have my own joints. If Rocky Bleier can come back, so can I. That's the attitude I need to have. Also, my sister, age 86, has a hip replacement. She fell and broke her other hip and femur when she tripped on the side walk. She is doing pretty well considering all her injuries.

[@trilbyarnold3341]

@@lawrenceterbell4496 It sounds like you are doing pretty well. My surgeon told me that I had as good a hip as possible but it still would not be as good as my original hip. I can do everything I want to just not in the same way as before the fracture. I still can't squat well so getting things from the floor is awkward but doable. I hike and that is important to me. I have some achiness, still some muscle weakness and a little balance problem so I'm considering another course of guided physical therapy to resolve those issues. I'm at15 months and know that it can take a full 2 years for recovery, Also at 81 age is a factor but I expect to continue my active life for a few years yet. I wish you every luck in your continued progress. Optimism and belief in success I think is essential.

[@mosleepeesful]

I broke my hip and pelvis on the right side 1-15-24....good luck to everyone whose with me or been with me on this journey..I feel I'm doin really well and have great care.

[@bigsmokeosrs7394]

I fell on my hip skating about 2 days ago and it hurt super bad. And since then I can’t sleep on my hurt side it’s super swollen and hurts to put any pressure on it. Thinking of getting it checked out.

[@TalkingWithDocs]

Hi Eddie. Getting it checked out is always a good idea. If the pain is on the side there is a higher chance that it is related to the soft tissues that took the majority of the hit however you do want to make sure nothing is broken. Good luck and keep us posted. Thanks for watching.

[@Toxicstriker55]

Hi doc , my mother (59) fell and broke her femoral neck , that's an incomplete fracture and doctor suggested both surgery and conservative treatment but surgery is not viable as her creatinine level is 1.6 . So , can you suggest something.

[@loricosgrove6320]

Thank you for your excellent videos. I am on month 7 after a hip neck fracture. Non-union with pins revised at 6 months with sliding hip screw for 1 month now. How big of a role does nutrition play with healing and non-unions? Thanks Doc.

[@TalkingWithDocs]

Hi Lori. You are welcome. Nutrition can certainly play a role but is is hard to quantify. Non unions are often more related to the angle of the fracture and the way it is loaded once fixed. Hope that helps. Thanks for watching and subscribing if you did.

[@loricosgrove6320]

@@TalkingWithDocs Thanks so much. You're AWESOME!

[@SseriousGgamer3]

My 84 year old grandpa fell and hurt something and I’m guessing his hip or pelvis. Whatever it is it’s super severe that he’s in massive pain and can barely walk (he walked pretty fine before the fall). He’s in heavy pain killers every other hour and he’s still hurting. But anyway after all the research I gathered, I think that’s pretty much his life now from now on. Life is scary

[@TalkingWithDocs]

Hi Luis. Thanks for sharing the story. If he is having severe pain it would be a good idea to get him formally assessed to make sure everything is ok. Good luck.

[@isussia2684]

how's your grandpa now? is he doing okay?

[@Bmyangel57]

Hi docs., watched and liked your video in full,I have a question, what would be a safer environment after surgery for an 87 years old diabetic woman with cirrhosis ,who broke his femur bone and had a 3 screws installed, after one month she's still in pain and takes s few steps with the help of a walker but can't be in a sitting position for too long ,prior to this her most health complications was taking paracentesis every 12 days or so, is there also a closer prognosis of life due to her latter condition ? TIA

[@TalkingWithDocs]

Hi sorry to hear this. Often a temporary nursing home or respite care is a safe place. Unfortunately yes a fractured hip in the elderly does increase the risk of mortality in the following 6 months. Best of luck. Thanks for watching and subscribing

[@valeriecastro6023]

Thank you guys you really helped me in time of distress, my mom is 81 had a pinning of her femur and had a terrible experience in rehab and it seemed to cause her leg to stay in a chicken wing position now for the last 1and a half yrs, and my question is the dr said her life span most likely at best for a 1yr and half expectancy, so is that a time frame that could be delayed if so- how much would be realistic in hoping for as far as a longer lifespan in your past experiences? and shes got dementia in a nursing home now, other then that no other physical aliments.

[@TalkingWithDocs]

Hi valerie. Thanks for your question and so glad we could help in your time of distress. It is very difficult to predict life expectancy after hip fractures in the elderly. I suspect what your surgeon was talking about is the fact that mortality after a hip fracture is about 30 percent at six months. The best way to keep elderly patients doing well is to keep them active and engaged. This is often difficult however. Sometimes the hip is held in an awkward position relating to the type of fracture. Hopefully that answers your questions. Good luck and thanks for watching.

[@valeriecastro6023]

Thank you for your reply, I guess my main question was- is there a shorter life span for a stiff leg that doesn't stretch out- its locked in a chicken wing position? could that be more probable? and is a pinning a shorter life expectancy? then a total hip in elderly, because the dr. mentioned that this type of fix is just to relieve pain, in a shorter span. Is there a difference in the two different procedures in a percentage? Thank you again. @@TalkingWithDocs

[@Hayden4wd]

Hey I had a previous hip surgery in my hip BC my growth plate slipped then three weeks ago the top of my hip I copied a knee on the top of the hip at football and ever since I've had bad pain there I can run if I'm on pain killers otherwise I can't what do U think it is? I'm 15 and I got bursitis and snapping hip syndrome

[@TalkingWithDocs]

Hi haydos. It is very difficult to know exactly what is going on. However if you had prior hip surgery and now have hip and knee pain, you should be reassessed to ensure there is nothing more serious going on. At 15 you should not require pain killers to run. Good luck and thanks for watching.

[@robertchatrnuch6997]

Hi, I had femoral neck fracture in Jan 2020, fixed with 3 screws. Still unable to fully weight bear, leg length discrepancy but the pain is not on the hip, but radiates from outer thigh to knee. Could it be that the screws are just irritating the soft tissue? As per the numerous x-rays, they seem to be slowly loosening and I am due for extraction soon. Thanks in advance.

[@TalkingWithDocs]

Hi Robert. Yes prominent screws laterally may be causing that pain. Removal may help for sure and sometimes they do back out over time. Best of luck to you. Thanks for watching and subscribing if you did.

[@libbyannstew8775]

This took me back to when my 95 year old father broke his hip. We were in emergency for a few hours before he could be admitted to a bed while waiting for surgery. Whatever pain killers they’d given him in emergency turned him into a raging bull and he had to be restrained on the gurney. It was very difficult to see this and to try and comfort him while we waited. I guess as a result of his agitation he was given a general anaesthetic and the post operative delirium was terrible and lasted for what seemed like weeks. The delirium turned a quiet and dignified man into someone we didn’t recognize and resulted in many, many days and nights of being restrained in his hospital bed due to aggressive behaviour and non-compliance. The delirium eventually lessened with time but he had to be given anti-psychotic medications to try and calm him down. It took 8 months but Dad did recover well enough to be able to walk short distances with a walker but passed away within 10 months of his surgery. His sister, who was in her late 90’s, also broke her hip but a spinal anaesthetic was used instead and there was such a difference in her post operative condition and speed of recovery and there was no delirium. In both cases the fractured hips marked the beginning of the end. Dad’s sister didn’t live more than a few months. Thank you for providing this comprehensive overview of hip fractures - no fun for anyone but so very deadly for the elderly.

[@TalkingWithDocs]

Hi Libbyann. Sorry to hear this. It is very difficult for everyone involved for sure. Thanks for watching and subscribing

[@libbyannstew8775]

@@TalkingWithDocs Thank you. Why does the general anaesthetic have that impact on the elderly? At what age does the potential for post op delirium becomes a concern?

[@choudhurysubrata3465]

PFN done in right leg for introchanteric fracture for my 71 years old mom 15 days back. What are the essential exercises for her now? Any precautions?

[@TalkingWithDocs]

Usually just walking with a walker at first if allowed. Main precautions are not falling, keep the wound clean, and watch for signs of a DVT. Best of luck. Thanks for watching and subscribing

[@estelamino6356]

PLEASE talk about congenital hip dislocation..what are the options does..hip operations needsv2x how long does it NEEDS. ??THANKS

[@TalkingWithDocs]

So the treatment for congenital dislocation is typically a hip replacement and can really vary on degree of difficulty depending on the severity on dislocation.

[@zukdavid7729]

Hi Sir Could you please explain more on Intertrochantric Femur fracture with minor dislocated and post operative precautions that should be taken back to normal . kindly post the video's sir

[@TalkingWithDocs]

Hi Zuk. This is a common fracture pattern. If fixed with a nail usually the patient is able to weight bearing as tolerated. Should always review with your surgeon. Each case is different. Thanks for watching and subscribing

[@Mrader1983]

Thanks guys. My dad just fractured his hip last night. This was helpful.

[@TalkingWithDocs]

Glad we could help M. Best of luck to your father. Thanks for watching, subscribing and sharing if you did.

[@aidanwilkins8281]

I was riding dirt jumps on my bmx bike and my tires where too slippery for the dirt and I was going too fast so when I hit the corner, I slipped out and onto my right hip. I’m 14 years old, and it hurts very bad and when I went in there may be a small fracture

[@TalkingWithDocs]

Hi Aidan. You need to slow down and be careful! That is some crazy bmx biking if you broke your hip. Hope you get well quickly and can get back to being a teenager. Thanks for watching.

[@lindahassaine7629]

How long does it take for it to heal when it didin't break completly and had surgery

[@TalkingWithDocs]

Hi Linda. All fractures are different but typically about 6 weeks. Thanks for watching.

[@zlover0201]

My 88-yo mom, previously independent and active without cane or walker, is 4 weeks status post a left anterior wall acetabular fracture with ORIF. She still can hardly get out of bed due to pain in the hip and pain in her right foot with attempting to stand. She is still in the hospital due to no subacute rehab available. Social workers have been so unhelpful.

[@TalkingWithDocs]

Yes this is a much more significant injury compared to a hip fracture. Wishing your mom the best of luck during her recovery. Thanks for watching and subscribing

[@beckyc.3926]

I'm not sure if I broke my hip or not. Let's just say I hurt it. I'm 45 and mis-stepped into a shallow pothole in a parking lot in 2020. Took at least 3 months for the worst of the pain to be over. I couldn't even role over in bed. At 6 months I had to walk very careful because sudden pain would stop me if I didn't step carefully. At a year things were mostly better with the rare painful moment. Years later I am still careful and feel the occasional pain start in the middle and stream outward across my right side, but now I can keep moving through it. I never saw a doctor. Is there a way to find out if I had a broken hip? For some reason it hurts tonightt. Feels like my right side is bruised and burning a bit. Is this what arthritis feels like? I kind of wish I knew what happened to me.

[@TalkingWithDocs]

Hi Becky. Any X-ray should be able to make that diagnosis. Best of luck. Thanks for watching and subscribing

[@KoyaHeart]

I was in a car wreck that resulted in a hip & pelvic fracture. I’m 29. I had to have surgery and had two screws on either sides & two on one of the top sides. Not sure exactly where, didn’t get to see a clear picture of my x rays. They have had me on a wheelchair for going on 5 weeks tomorrow. ☹️ I am to see my dr next week to begin discussing PT & Rehab. I know you couldn’t possibly know without seeing my x rays or knowing my medical history. But what can you tell me? Advice? Thank you. 🙏🏻

[@TalkingWithDocs]

Hi Karen. Sorry to hear this. Most fractures are healed in about 6 weeks so hopefully you can start weight bearing. Best of luck. Thanks for watching and subscribing

[@sarahbrennan1342]

Hi how are you feeling now 🥰♥️

[@joanmcgilton5075]

My femur fractures were from osteoporosis. I just wrote on the site you were talking about the rods and screws I asked a question I hope you can answer soon

[@joanmcgilton5075]

I wrote on the hardware removal Wonder if I got the screws out and left the rods in would help my pain

[@TalkingWithDocs]

Hi Joan. It really depends. If the hardware is prominent and irritating the soft tissues sometimes removal can help reduce pain. Best to discuss with your treating surgeon ahead of time. Thanks for watching.

[@joanmcgilton5075]

If they just took the screws out and leave the rods in if that would help? I wrote to you cause I’m at my wits end and the pain is unbearable 24/7 it never lets up

[@kennethwhite5158]

I hurt my lower back many years ago. If I had taken the advice of my chiropractor at that time, see a qualified orthopedic doctor, and get X-rays, which I didn't. Here I am 40 years later and crippled, needing steroid injections to deal with the pain, which at times is pretty intense. My point is don't think you can heal yourself like I did.

[@TalkingWithDocs]

Very good point

[@tshara-silkhair7861]

Hey I got my hip broken because I fell off a hospital bed in early 2020 nothing was done to my hip . Do you think I can develop a infection or something?

[@TalkingWithDocs]

That seems odd. Most hip fractures require surgery. If you didn’t have surgery it would be rare to develop an infection. Best of luck. Thanks for watching and subscribing

[@michaelbersick6965]

After 6 hip revisions, Im due for a Girdlestone procedure. Explain, please

[@TalkingWithDocs]

Hi Michael. That is obviously a very difficult question to answer. A Girdlestone is a salvage procedure when there are no viable reconstructive options. This is usually related to chronic infection, bone loss or severe muscle loss/damage. Hopefully that answers the question somewhat. This is a complicated problem and should be discussed at length with your treating surgeon. Good luck Michael.

[@connorfox9407]

Hello I’m 17 I have a question so I broke my hip about 4 weeks ago and doc told me to have crutches at least 8 weeks main cause was because of an atv crash anyways I’m worried because if I accidentally put to much weight on in will I have to go in surgery agian

[@TalkingWithDocs]

Hi Connor. This is quite common to protect weightbearing for 6-8 weeks depending on the type of fracture. Just go slowly and be careful. Good luck. Thanks for watching, subscribing and sharing with someone if you did.

[@karshe7]

Hi...My mom 69 years old had a fall breaking her left hip..doctors recommended surgery with implants. However, she is arthritic for last 12 years and bed ridden except for 4 times a day when she walks with a walker for 10 mins each. Also she is under weight. Can we go for for the implants??? Pl respond

[@TalkingWithDocs]

Hi karshe. All cases are unique but unless there is a specific reason we typically recommend fixing fractures to improve quality of life. Good luck. Thanks for watching and subscribing if you did.

[@janedarc1471]

Do you think I should take prolia injections for osteoporosis? I am worry about side effects especially the jaw issue

[@TalkingWithDocs]

Hi mp. This is a difficult question to answer. There are many patients that do take prolia but you should discuss this with your treating physician and usually in the setting of an abnormal bone density test and a failure of vitamin D and calcium. Hope that answers your question and thanks for watching.

[@J.G.817]

My question doctor is what type of fracture do you have when your leg is shorter and your foot turns to the right.?

[@nitinsinhadon]

Hi *Brief details of patient*:- He is 69 year old. **He has been suffering from diabetic and hypertension since 2007 and on insulin since 2010 ** He has been on haemodialysis thrice a week since January 2020. ** He had DVT in right leg one month back ** On 01.02.2022 he fell down and got injury/fracture in hip area and right now a traction has been placed in his right leg to avoid movement Kindly suggest that should we go for the surgery or hould go for non operative conservatives

[@TalkingWithDocs]

Hi Nitin. In Canada where we practice unless it was felt that the patient would not survive the surgery we would lean towards surgical care. Unless the fracture was totally undisplaced and there were other reasons to avoid surgery. It is difficult to treat non operatively in bed as it is associated with many complications like DVT pneumonia and bed sores. Best of luck. Thanks for watching and subscribing if you did

[@nitinsinhadon]

@@TalkingWithDocs thanks a lot for your valuable advice

[@sharonlandry7422]

Hi Docs. Can you fracture your hip when you’ve had total hip replacement

[@TalkingWithDocs]

Yup but it’s called a periprostheric femur fracture

[@sharonlandry7422]

@@TalkingWithDocs well shucks. Guess I’ll have to be extra careful then because I’ve had bilateral.Thank You Docs for everything you do for us patients. Love you guys and god bless. Thank you for the reply.

[@steelersnorth2914]

I am a 59 year old male in great health and shape. Fractured my femoral neck with a high impact collision while playing hockey. With my own teammate. Internal fixation with 3 screws and at 8 weeks since surgery and everything is progressing well. I had 6 weeks of zero weight bearing and now I walk with no assistance. Once I fully heal will I be able to resume skating and playing hockey or is the stress of skating too much? I know that it is a difficult question for you to answer but I love playing and hate the thought that I would have to give it up. Thanks for all your great videos!

[@TalkingWithDocs]

Hi Rob. Typically once you are healed you will be able to do many of your normal activities depending on the fracture and how the fracture heals. Whether or not people do things like skating or hockey or skiing is a personal choice. It is associated with some risk. The plate will not break however with the right fall you could break above or below the hardware. Good luck with your recovery and thanks so much for your support and for watching our channel. All the best!

[@robrobi3869]

Hi I’m 31 y/o when broken mg hip so after 2yrs I still feel the pain. How to overcome this pain everyday i feel pain in my affected leg, my spinal cord as well

[@TalkingWithDocs]

Hi Rob. The best thing to do is be reassessed to make sure that the hip healed properly and that you are not developing arthritis which can be responsible for pain after this operation. Also when you have a bad hip it does put extra stress on your low back. Hope that helps. Good luck and thanks for watching.

[@majdalkhwaja7756]

What are the options for a 75 year old women with heart disease and had a DVT that traveled to the lungs two years ago and been on blood thinners the xray shows a hip fracture

[@TalkingWithDocs]

Hi Majd. Sorry to hear about your situation. Best to discuss with internal medicine. The fracture still probably has to be fixed or the patient can't walk and is at risk of developing a DVT. Starting blood thinners right after surgery. Anesthesia will also have to be consulted. Best of luck to you. Thanks for watching, subscribing and sharing if you did.

[@majdalkhwaja7756]

@@TalkingWithDocs thatnk you for replying and thanks for the video its very straight forward and helpful, all the best from Jordan 🇯🇴

[@jackzouyuquan9094]

Never fall and accident before. Hip pain when stand up from the sitting. Hip pain when long walking. So hospital surgeon said it needs to surgery for hip replacement. Is it true needs to surgery hip replacement?? Thanks

[@TalkingWithDocs]

Hi jackzou. That decision would be made based not only on your symptoms but also by your X-ray. Best of luck. Thanks for watching and subscribing

[@jackzouyuquan9094]

@@TalkingWithDocs thanks doctor

[@jackzouyuquan9094]

@@TalkingWithDocs 19/5/2022 Thursday left hip replacement. 24/5/2022 hospital discharge. Red nerve appears below hip replacement and black mark behind the knee. Today 28/5/2022 Saturday, red nerve becomes lesser red colour. But black mark becomes yellow colour behind the knee. Sir, please let me know what happens and what should patient do? Is it dangerous sir ??

[@bharatjoshi4140]

🙏Our 83 yr. old grandfather got his left hip broken IT fracture . After 25 days of operation CRIF(PFN) still his foot is outwardly fallen and leg has become 2 inch shorter ! he has no other medical issue or complication . What is the future OF RECOVERY ? PLEASE GUIDE THANK YOU !!🙏

[@TalkingWithDocs]

The external rotation is not uncommon. If the bone was broken badly there can be shortening of the bone. A shoe lift will often accomodate for this. Best of luck to him

[@colliesworld6380]

Help guys I fell in my hallway three days ago, I have been in bed ever since. Day 1 could not put weight at all day four I I am walking with walker and putting some pressure on it. It still hurts like sob but it is better than when the accident happened day 1. Due to COVID I am trying to stay out of the hospital, does it sound like it’s broken, what would you suggest?

[@TalkingWithDocs]

HI Collies World. Sorry to hear about the fall. It may be broken. It is more likely your pelvis than your hip. Only way to know for sure is get an xray which is where you should start. Thanks for watching and subscribing if you did.

[@oompranik]

He was 76 years old with heavy diabetic condition and the heart condition was taken into account before operation. He started loosing the Oxyen % and lost heart beat after 3 days which was visible over monitor previous night he expired but nothing could be done as per dr. opinion .

[@TalkingWithDocs]

We are sorry for your loss

[@sultanlee9635]

I have a hip fracture I had surgery done. They said if it crumbles or the screws go loose I will have too get a hip replacement I I hope I can walk again. And had physical therapy and occupational therapy

[@TalkingWithDocs]

Best of luck Sultan

[@sultanlee9635]

@@TalkingWithDocs thanks docs

[@pmrose18]

Thanks an excellent video as my Mother 92 just broke her hip.

[@TalkingWithDocs]

Glad we could help pm18r. Best of luck to you and your mom. Thanks for watching and subscribing if you did.

[@angelgirl7321]

I am 38 years old and suffered a formeal neck fracture, I slipped on the ice. I have three pins in my hip. the pins have started backing out.

[@TalkingWithDocs]

Hi angel girl. If the fracture has healed they can be removed. If it has not healed they may have to be reinserted depending on how far from the original injury. Best of luck. Thanks for watching and subscribing

[@angelgirl7321]

@@TalkingWithDocs I had emergency surgery on feb 20th, I have only healed to 95 percent, I am 16 weeks out from surgery

[@bcrosstx]

Do post operative complications (i.e. blood clots, heart attack, etc.) differ greatly between hip surgery vs knee replacement?

[@TalkingWithDocs]

Hi B. Not really. The incidence would be very close. Thanks for watching and subscribing if you did

[@kaym5015]

If a hip is not fix through surgery what will happen?

[@kanchankamble402]

Hii doctor this is my mom fracture mildly displaced intertrochanteric fracture of left femur is seen pls guide me

[@TalkingWithDocs]

Hi Kanchan. We are unable to provide specific medical advice over this platform but that xray requires surgery. Sorry for the delayed response. Thanks for watching and subscribing if you did.

[@hawkwind769]

You're probably not watching. Lol, I lost it over here.

[@TalkingWithDocs]

Hi oHAWKWINDo. Not entirely sure we understand the question.

[@hawkwind769]

Talking With Docs totally fine, just a bad joke. I did have an honest response in a one of your videos. I broke my femur just below the hip. Hurt like hell!!😎

[@TalkingWithDocs]

Hi oHAWKWINDo. Glad you are enjoying the videos. And yes femur fractures hurt! Be careful. And thanks for watching.

[@chrys2953]

49 years old. I was hit by a car while walking. Broke my pelvis in 6 places including both ball and socket joints, and an H fracture in my sacrum. I have an external fixator. No weight bearing for 6 weeks at all and no weight on the left leg for an additional 6 weeks because that femur was broken in two. They are waiting to see if the blood supply is affected. I was in fabulous shape before this and amazingly, I have no neurological damage.Is there any hope of getting back to normal at all?

[@TalkingWithDocs]

Hi Chrys. Sorry to hear about your accident. Your recovery will likely be long and there will be a lot of factors that will determine your ultimate function but they are fixable injuries. It is not uncommon for patients to not get completely back to pre-accident function but often drastic recovery can occur. Wishing you the best during yours. Thanks for watching and subscribing if you did

[@lauraestes9304]

How are you doing? I always am terrified of being hit by a car when I'm walking...i just was mortified to read your injuries.

[@sendit3251]

How you doing Chris?

[@jaykar7805]

Hip neck fracture progress what month in complete live life

[@TalkingWithDocs]

Hi Jay. Every fracture and patient are different but typically recovery from a hip fracture takes 3-6 months and sometimes even a bit longer. Good luck to you during your recovery. Thanks for watching.

[@tammygardner7953]

No one did a ct scan or mri with contrast?

[@TalkingWithDocs]

Hi Tammy. Typically xray is the diagnostic test of choice to identify a hip fracture unless you are unsure. Hope that helps. Thanks for watching.

[@tta4168]

At 13 minutes you talk about getting anyone through surgery, but then 3 months later the patient can die because of a blood clot. Can this be averted by keeping elderly patients longer on oral anticoagulants that have Low risk of bleeding? If clots happen 3 months out or longer (presumably because these elderly patients have slow recovery and are still very immobile) why not keep them on anticoagulant longer than the standard 30 days post surgery treatment? What are the risk in keeping them on anticoagulant for 3-6 months until they have made more significant recovery? Thank you 🙏

[@TalkingWithDocs]

Hi t ta. So often at 3 months it is not because of a blood clot. Studies have shown more risk than benefit for prolinged anticoagulation in thus setting. Best advice is to try and regain mobility. If a patient is bed ridden they may require further anticoagulation. Thanks for watching and subscribing if you did

[@aziacamacho7311]

Hi im 30 y/o and was in a car accident jan 2nd, dislocated my hip, fractured my hip, pelvis and something else..i hate it..will i ever be able to open my legs all he way again😩 or sit indian style?

[@TalkingWithDocs]

Hi Azia. It would really depend on the injury and your recovery. We are very sorry to hear about your accident and wish you the best. Thanks for watching, subscribing and sharing if you did.

[@oompranik]

Caution : My father expired just after 3 days (on 31st July 2023 ) after PFN operation due to Pulmonary embolism .. So please ensure your OT has heart specialist available apart from Ortho.

[@TalkingWithDocs]

Sorry to hear this. DVT and PE can happen with any Orthopedic trauma.

[@abandz7755]

I’m only 16 and fractured my hip 🤕

[@TalkingWithDocs]

Hi Adot. So sorry to hear that you fractured your hip. You are very young to suffer a broken hip. Good luck on your road to recovery. Thanks for watching. And sorry for the delayed response.

[@Naturelover-Travelling]

I broked my hip and am on bed rest from ladt 1 month. Doctor said no surgery for broken hip and asked me to rest so my broken hip can heal. Can you tell me how long will it take to heal completely. Am only 31 year old. And am afraid.

[@TalkingWithDocs]

Hi sourav. It is difficult to know the details of the type of fracture that you have. Most fractures will heal in approximately 6 weeks but each one is different. This question could best be answered by your surgeon. Hope that helps. Thanks for watching.

[@Naturelover-Travelling]

@@TalkingWithDocs but noww my scortum start paining. Is this due to pelvic fracture

[@laurenc2976]

My 86 year old Nana just broke her hip a few hours ago.

[@TalkingWithDocs]

Oh no Lauren! Best of luck to your nana during her recovery. Thanks for watching and subscribing if you did

[@wasntbad]

My mom suffered a hip injury during the earthquake on Aug 14 In haiti. House collapse on her, concretes landed on her side and lower back. I'm watching this video because she is hospitalized in haiti. And I am in north america trying to understand if hip fracture can heal on it's own. She was told she needs hip surgery to fix the fracture but the location is dangerous for her age (67) weight, other medical condition.. Shes able to move her legs, but unable to lift her hip or sit. Shes has massive pain from her lower back with movements. Haitian doctors contemplating on sending her home with a bandage wrapped around her hip. Treatment bed rest. No movements. Which is terrible. I fear I will loose her due to blood clots formation or pneumonia. Can I please gets some advice? I thought of Aspirin for pain and blood thinners. Excess fluids intake, nutrition supplements, and deep breathing exercises. Is that good enough.

[@TalkingWithDocs]

HI wasntbad. So sorry to hear about your mom. Dr Weening was in Haiti in 2010 after the bad earthquake that year. Most hip fractures do require surgery and you are correct that if she does have non operative treatment there is a risk of blood clots, pneumonia, bed sores, etc. It is a complicated decision that should be made with the team locally. Best of luck to her. Thanks for watching, subscribing and sharing with someone if you did.

[@DGNYY27]

39 yrs old month 4 of recovery I fell off a scooter screw and pin covering femur

[@TalkingWithDocs]

Oh man D G. No scooters. Thanks for watching and subscribing

[@tammygardner7953]

I broke my hip at 53. I started going numb in March. April 1st 2019. I can still feel the rod. Broken by April. Not healing well

[@TalkingWithDocs]

Hi Tammy. You broke the IM nail that was used to fix your hip? All hardware will fail if the bone does not heal. Did you require revision surgery?

[@tammygardner7953]

Talking With Docs no the man that operated on me said I’m fine but I cannot barely move . Please tell me what to do. I can’t move my right hip either and now I have back pain. My left foot has toes swollen and seperated. Now my right hip hurts. I pray to God you guys can help me. . Please tell me what to do? Begging God for help

[@tammygardner7953]

Please help me! Thank you for responding crying bcuz y’all even responded.

[@tammygardner7953]

Talking With Docs no I’m sorry I have not had revision surgery done ✅. I was just told I was fine.

[@TalkingWithDocs]

Hi Tammy. If the rod is broken and you were told you were fine and you still have pain you should seek a second opinion to see if revision surgery is appropriate for you. Good luck and keep us posted

[@RammatRamzi]

Moral of the story? Take care of your bones.

[@TalkingWithDocs]

Yes RammatRamzi! Take care of your bones.

[@asseyez-vous6492]

I WAS taking care of my bones, very dense but small frame. Going through menopause, have femoral neck fracture through running, and I'm USED to exercise, v. active 🙁 So you CAN still get fractures even when taking care of yourself!!

[@Ashley_Lynn]

I certainly don’t I am 12 and have broken 11 bones, currently with a fractured hip

[@RammatRamzi]

@@Ashley_Lynn How?

[@Ashley_Lynn]

@@RammatRamzi they are all from sports hahaha this one is because I have been tumbling on the hard floor too much which caused it to start cracking

[@Reneebenson]

i have a possabile pelvic fractor on my right side going in for a mri tommrow :(

[@TalkingWithDocs]

Hi Renee. Good luck with your MRI and hopefully it is something that can heal quickly. Thanks for watching. Keep us posted

[@Reneebenson]

im hopeing so too mri took a hour which was my longest mri yet im hopeing whatever can be fixed simply

[@Reneebenson]

tired of the pain

[@unexploredrailways5715]

My grandma age 65 has fractured her hip...now she is going to have surgery ..which one is good steel or titanium....and plates or rods

[@TalkingWithDocs]

Hi knowledge junction. The choice of implant or hardware is determined by the type of hip fracture and there are many. This is a question that should be discussed with the treating surgeon.

[@foreverraining1522]

Isn't it true that people who are flexible are less likely to suffer a hip fracture in similar circumstances as those who are not.

[@TalkingWithDocs]

That is probably true Forever. Thanks for watching and subscribing

[@owenwiggins237]

I might have to go to the hospital bc I think I fractured my hip pray for me

[@TalkingWithDocs]

Owen, good luck to you. If you have severe pain and trouble walking definitely go to the hospital. Stay safe. Thanks for watching and subscribing if you did.

[@colliesworld6380]

My god same

[@SuperQdaddy]

And whats happens if you don't get surgery ???..will it heal..or you.just won't walk again

[@TalkingWithDocs]

Hi Supwr1daddy. It may heal in an abnormal position or it may not heal. Walking would be very difficult and sometimes not possible. Thanks for watching and subscribing if you did

[@caseymo7416]

“If you have a hip fracture you’re probably near the end of your life” Me sitting here at 39 healing from hip fx #2 in a year and a half 😳😳😂😂

[@TalkingWithDocs]

Hi Casey. Only if it happened from a standing height. Sorry to hear this and all the best during your recovery! Thanks for watching and subscribing

[@THEULSTERMAN82]

Hi I'm 40 years old and grade 2 garden fracture. I feel your pain 😞

[@vickiwestphal7988]

Broke hip 7 mos ago 60yrs old. Getting a second opinion on it. May need another surgery .

[@robertmudrow8034]

Wear those hats and white coats all the time do you?

[@TalkingWithDocs]

No. Just when working and we film before or after working. Sorry for that though.

[@jamesnash1497]

Did I hear you hip doctors Does every hip fracture need surgery because never did Is that because I’m disabled I SEE THE FRACTURE I HAVE IS HUGE WITH A POINTED NEEDLE LIKE BRAKE am I going to die if I don’t walk on my leg BUT I MIGHT GETA ELON MUSK IS GOING TO MAKE ME DANCE AGAIN. why did they not want to operate IS IT UNUSUAL THAT THERE ARE NO SURGERY I’m mid aged IM YOUNGER THAN YOU

[@TalkingWithDocs]

Hi James. Yes the vast majority of hip fractures would require surgery. If unsure seek a second opinion. Wishing you the best of luck. Thanks for watching and subscribing if you did

[@jamesnash1497]

Just kidding I DONT KNOW ELON MUSK but can you fix me if money wasn’t an issue…. It’s nice to dream Elon Musk is the man he does what no one can YEP ELON MUSK IS THE MAN do you think he can make me run again BECAUSE ELON MUSK CAN MAKE ME DANCE ITS COOL TO DREAM THAT HE CAN PUT ME TOGETHER AGAIN

[@TalkingWithDocs]

Hi James. Not sure about ELON MUSK. But we suspect you can find a surgeon locally if that is in fact what you need. Best of luck. Thanks for watching and subscribing if you did