Talk with your doctor about the best treatment plan for you. Options include:
Surgery is needed for most hip fractures. This will make sure the hip heals properly. Surgery will also allow you to move about as you recover.
The type of surgery will depend on location of break, how severe it is, and overall bone health. Surgical options include:
Plates and screws will be used over the area. They will help to align the bones and support them while they heal.
Hip replacement may be needed. Damaged areas are removed. A metal devices is inserted in its place. This options is reserved for those with severe bone injury. It is more common in older adults.
Your doctor may recommend devices to help you start walking. This may include a wheelchair, cane, or walker.
Surgery is not a good option for some people. Those with a small fractures or poor overall health may need to let the bone heal on its own. The fracture will be monitored with imaging tests. This will make sure it is healing properly. Traction may also be used. It can hold the leg in place while the bone heals.
A physical therapist will assess the hip fracture. An exercise program can strengthen the muscles help recovery. They may also help reduce the risk of future falls.
Major trauma is often caused by accidents and hard to avoid.
Work with your doctor if you have a condition that can weaken the bone. Medicine, changes to the diet, and weight bearing activities may help slow bone loss.
To reduce the risk of falls:
Ask your doctor if any of your medicine may cause lightheadedness, drowsiness, or confusion.
Get your eyes checked regularly.
Clean spills and slippery areas right away.
Remove tripping hazards such as loose cords, rugs, and clutter.
Use non-slip mats in the bathtub and shower.
Install grab bars next to the toilet and in the shower or tub.
Put in handrails on both sides of stairways.
Walk only in well-lit rooms, stairs, and halls.
Keep flashlights on hand in case of a power outage.
Hip fracture prevention. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00309. Updated January 2013. Accessed March 5, 2018.
Ly, Thuan V and Swiontkowski, Marc F Management of femoral neck fractures in young adults. Indian J Orthop. 2008 Jan-Mar; 42(1): 3–12.
van Diepen S, Majumdar SR, Bakal JA, McAlister FA, Ezekowitz JA. Heart failure is a risk factor for orthopedic fracture: a population-based analysis of 16,294 patients. Circulation. 2008;118(19):1946-52.
4/24/2014 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T116789/Hip-fracture: Ward RJ, Weissman BN, et al. ACR Appropriateness Criteria for acute hip pain: suspected fracture. Available at: http://www.acr.org/~/media/ACR/Documents/AppCriteria/Diagnostic/AcuteHipPainSuspectedFracture.pdf. Published 2013. Accessed February 11, 2016.
Last reviewed March 2018 by
EBSCO Medical Review Board
Alan Drabkin, MD
Last Updated: 7/19/2018
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