Hip Fracture

A hip fracture is a break in the upper part of the thighbone (femur) near the hip joint. This injury is especially common in older adults, often caused by falls or bone-weakening conditions like osteoporosis. Hip fractures can lead to significant pain, loss of mobility, and other health complications if not treated promptly.

Hip fractures typically occur in one of two locations in the femur:

• Femoral neck: Just below the ball of the hip joint
• Intertrochanteric region: A bit farther down the femur

In severe cases, the fracture may extend into the shaft of the bone or involve both areas.

What Causes Hip Fractures?
Hip fractures are most often the result of:

• Falls, especially among older adults
• Direct blows to the hip from accidents or trauma
• Osteoporosis, which weakens the bones
• High-impact injuries from sports or car accidents in younger individuals

Certain medical conditions, medications, and lifestyle factors (like smoking and inactivity) can also increase the risk of fracture.

Symptoms of a Hip Fracture
A hip fracture causes immediate and noticeable symptoms, including:

• Severe pain in the hip or groin
• Inability to bear weight on the affected leg
• Shortened or outwardly rotated leg
• Swelling or bruising around the hip area
• Difficulty or inability to move the leg

If a hip fracture is suspected, seek medical attention immediately. Do not attempt to stand or walk.

Diagnosing a Hip Fracture
Your Iowa Ortho provider will evaluate your symptoms and use imaging to confirm the fracture and determine its type and severity. This typically includes:

• X-rays to visualize the fracture
• CT scan or MRI if more detail is needed or if X-rays are inconclusive

Treatment Options
Treatment depends on the location and severity of the fracture, as well as the patient’s age, bone health, and activity level.

Surgical Treatment
Most hip fractures require surgery to stabilize the bone and allow healing:

• Internal fixation: Metal screws, rods, or plates are used to hold the bone together
• Hemiarthroplasty: Replacing the broken part of the femur with an artificial implant
• Total hip replacement: Both the ball and socket are replaced, often for more complex fractures or in patients with existing arthritis

Non-Surgical Treatment
In rare cases, non-surgical treatment may be considered if surgery poses too great a risk due to other health concerns. This approach involves:

• Bed rest and pain management
• Physical therapy for mobility
• Close monitoring to prevent complications

Recovery and Rehabilitation

Recovery from a hip fracture takes time, and a strong rehabilitation plan is key.

• Physical and occupational therapy to regain strength and independence
• Fall prevention education and home safety recommendations
• Bone health management to reduce future fracture risk

Most patients begin standing or walking (with assistance) within a few days after surgery. Full recovery may take several months, depending on the individual and the type of surgery performed.

Why Choose Iowa Ortho?
Our experienced orthopedic trauma team provides comprehensive care for hip fractures, from emergency evaluation to surgery, rehab, and long-term follow-up. We also work closely with families and caregivers to support safe recovery at home or in assisted living environments.

Don’t Delay Treatment for a Hip Fracture
If you or a loved one is experiencing signs of a hip fracture, call 911 or visit the nearest emergency department. For follow-up care or post-surgical rehabilitation, schedule an appointment with our team at Iowa Ortho. We’re here to help you heal and regain your independence.