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OVERVIEW

What is a hip fracture?

A hip fracture is a break in your thigh bone (femur) where it connects to your pelvic bone In younger people, it typically happens with car accidents or other significant injuries. However, hip fractures are more common in people 65 and older. It also is more common in women. That’s because women often have a disease that weakens bones. This is called osteoporosis. Hip fractures in older individuals are serious and require immediate medical attention. It can be difficult to fully recover from a hip fracture at an older age and can affect your ability to live independently.

SYMPTOMS

If you fracture your hip, you may have the following symptoms:

• Severe pain in your hip or groin area
• Discomfort when trying to move or rotate your hip
• Bruising and/or swelling in your hip area
• Unable to put weight on your hip
• Unable to walk
• The injured leg may look shorter than the other leg and may be turned outward

CAUSES

Most hip fractures are caused by a fall. Other causes include cancer and injury. Women break their hip more often than men. That’s because women often have a condition that weakens bones. It is called osteoporosis. Osteoporosis is caused by not having enough calcium to maintain healthy bones. As you get older, balance becomes more of a challenge and your risk for a hip fracture will increase. As people get older, they lose bone mass. Bones become brittle and break easily.

DIAGNOSIS & TESTS

How is a hip fracture diagnosed?

Any time you fall and are unable to get up or stand, contact your healthcare provider right away. They may take an X-ray to check for hip fracture.

PREVENTION

Can a hip fracture be prevented or avoided?

Several things can help reduce or prevent a hip fracture, including:

• Ask your healthcare provider if any of the medicines you are currently taking cause you to be sleepy or dizzy. This will impact your balance an increase your risk of falls.
• Get plenty of calcium foods (milk, cottage cheese, yogurt, sardines, and broccoli) to keep your bones strong.
• Talk to your healthcare provider about taking vitamin D. Vitamin D helps your body absorb calcium. They can tell you how much to take.
• Exercise to keep your bones and muscles strong. This is best done by doing exercises with weights or strength training.
• Don’t drink or smoke.
• Have your vision checked once a year. Eye diseases as you get older can affect your ability to see. This can lead to falls.
• Use a cane or walker if your healthcare provider suggests it. This will help your balance and help you avoid falls.
• If you are a woman, get screened for osteoporosis.
• Talk to your healthcare provider about medicines that can improve your bone health.
• Make your house safer. This includes:
• Good lighting in your home (also add night lights in your bedroom, hallways and bathrooms).
• Fasten rugs with non-skid backing. Tack down loose ends that curl up.
• Keep electrical cords picked up and out of the way.
• Install hand rails in the shower and toilet use. Add handrails to each side of your stairs.

TREATMENT

Most people who have hip fractures will need surgery.   This will involve anesthesia and a hospital stay. The length of the stay depends on your health and the severity of the break. Some people are unable to have hip surgery because of illness or poor health. When this happens your healthcare provider may consider putting you into traction. Traction uses a medical device to keep you from moving and walking. The length of time you are in traction depends on the severity of your break.

After surgery, you may have a long recovery. Your healthcare provider can tell you when you should try to stand or walk after surgery. It may be painful to walk at first. You may need a walker or cane for several months.

You may need to see a physical therapist after surgery. This is a medical provider who will teach you how to properly sit, stand and walk without reinjuring your hip. You’ll receive exercises to do at home. You also may need some home care for daily tasks. This includes bathing, dressing, cooking, errands, etc.

Your healthcare provider may discuss hip replacement if your fracture was severe and permanent.

Living with a hip fracture

Complications from a hip fracture can be severe and life-threatening. While you are immobile, you are at risk of developing deep vein thrombosis (DVT). DVT is a blood clot in a vein deep inside your body. These clots usually occur in your leg veins. If the blood clot breaks away and travels through your bloodstream, it could travel to your lungs. This can be fatal. Other complications from immobility after hip surgery can include:

• Pressure sores (deep sores on your skin that can become infected)
• Pneumonia
• Muscle wasting or atrophy (your muscles become smaller and inactive)
• Urinary tract infections