![]() Depending on the type of surgery and whether there's help at home, going to an extended care facility might be necessary. Physical therapy will initially focus on range-of-motion and strengthening exercises. That type of injury, which occurs most often in older people with femoral neck fractures, means the bone is less likely to heal properly. Surgeons may recommend a full or partial hip replacement if the blood supply to the ball part of the hip joint was damaged during the fracture. Partial hip replacement might be recommended for adults who have other health conditions or who no longer live independently. In some situations, the socket part of the hip doesn't need to be replaced. Increasingly, studies show total hip replacement to be more cost-effective and associated with better long-term outcomes in otherwise healthy adults who live independently. The upper femur and the socket in the pelvic bone are replaced with artificial parts (prostheses). Sometimes screws are attached to a metal plate that runs down the thighbone (femur). ![]() Metal screws are inserted into the bone to hold it together while the fracture heals. The type of surgery generally depends on where and how severe the fracture is, whether the broken bones aren't properly aligned (displaced), and your age and underlying health conditions. Treatment for hip fracture usually involves a combination of prompt surgical repair, rehabilitation, and medication to manage pain and to prevent blood clots and infection. In some cases, artificial replacements (prostheses) of parts of the hip joint may be necessary. In certain high risk sites including the navicular and the fifth metatarsal bones in the foot and with the neck of femur, surgery may be needed.īook an appointment with Dr John Rogers or Dr Jim Kerss by calling 01.A hip fracture can be repaired with the help of metal screws, plates and rods. Sometimes additional medical treatment with drugs such as teriparatide are used to help strengthen the bones or to assist with fracture healing, but only in special circumstances. ![]() For fractures around the foot, you may be referred for podiatry input for consideration of orthotic prescription. You will usually be referred to a physiotherapist to help oversee a gradual return to sporting activity once the fracture has healed and to advise on appropriate strength and conditioning to reduce the risk of recurrence. Other management considerations include education around progression of training loads, vitamin D supplementation, advice regarding calcium intake in the diet, sports nutrition input to optimise calorie intake to match calorie expenditure, strength and conditioning to help absorb impact loads, to prevent further stress fractures and to optimise bone mineral density. Stress fractures in the foot, ankle and lower leg may require you to use a removable boot for six weeks or more. If the fracture is in your leg or foot, it may be recommended to use crutches to keep weight off until the pain subsides. Usually this will be for at least six to eight weeks. Your consultant will advise rest from provocative activity. The majority of stress fractures are treated non-surgically. Treatment will depend on the location of the stress fracture and its severity. Conservative management of musculoskeletal problems.Sport & Exercise Medicine (SEM) Clinics.Decompression surgery for spinal stenosis.Hydrodilatation (injection) for frozen shoulder.Nerve decompression/release (neurolysis).Total joint replacement surgery of the wrist, thumb and fingers.Ligament injuries in the ankle and foot.
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