Hip fractures are one of the most serious orthopedic injuries affecting elderly individuals. They often result in sudden loss of mobility, prolonged dependency, and increased health risks if not treated promptly. With timely medical attention and appropriate surgical care, most elderly patients can regain mobility and independence.
As a Consultant Orthopaedic Surgeon in Sinhgad Road, Pune, Dr. Atul Ashok Patil provides comprehensive care for hip fractures in elderly patients, focusing on safe surgery, early mobilization, and long-term functional recovery.
A hip fracture refers to a break in the upper part of the thigh bone (femur), near the hip joint. In older adults, these fractures commonly occur due to weakened bones and reduced balance.
Hip fractures are not just bone injuries—they can significantly impact overall health, independence, and survival if treatment is delayed.
Hip fractures in older adults commonly result from:
Falls at home or outdoors
Osteoporosis causing weak and brittle bones
Slips in bathrooms or on uneven surfaces
Minor trauma in fragile bones
Reduced muscle strength and balance issues
Even a simple fall from standing height can cause a fracture in elderly patients.
Typical signs include:
Severe pain in the hip or groin
Inability to stand or walk
Shortening or outward rotation of the leg
Swelling or bruising around the hip
Pain on movement or weight bearing
These symptoms require immediate orthopedic evaluation.
Non-surgical treatment may be considered only in rare cases where:
The fracture is stable and non-displaced
The patient is medically unfit for surgery
Management includes pain control, bed rest, physiotherapy, and medical optimization, but surgery is usually preferred for better outcomes.
Surgery is the standard treatment for most hip fractures in the elderly and aims to allow early mobilization.
Common surgical options include:
Internal fixation using screws or plates
Partial hip replacement (hemiarthroplasty)
Total hip replacement in selected patients
The choice of procedure depends on fracture type, bone quality, and patient health.
Early surgical intervention offers:
Faster pain relief
Early mobilization and walking
Reduced risk of bed-related complications
Better functional recovery
Delaying surgery can increase the risk of infections, blood clots, and long-term disability.
Post-operative care focuses on:
Early mobilization with physiotherapy
Pain management
Fall prevention strategies
Nutritional and bone health support
Gradual return to daily activities
Rehabilitation plays a vital role in restoring independence.
Preventive measures include:
Osteoporosis evaluation and treatment
Vitamin D and calcium supplementation
Home safety modifications
Balance and strength training
Regular orthopedic check-ups
Prevention significantly reduces future fracture risk.
1. Is hip fracture surgery safe for elderly patients?
Yes, when performed early and by an experienced surgeon, it is generally safe and beneficial.
2. How soon should surgery be done after a hip fracture?
Ideally within 24–48 hours after injury.
3. Can elderly patients walk again after hip fracture surgery?
Most patients regain walking ability with proper surgery and rehabilitation.
4. How long does recovery take?
Recovery varies but usually takes several months with physiotherapy.
Dr. Atul Ashok Patil is an experienced Consultant Orthopaedic Surgeon in Pune, specializing in trauma care, hip fractures, pelvic-acetabular surgery, and complex fracture management. He is dedicated to providing safe surgical care and structured rehabilitation to help elderly patients regain mobility and independence
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