An intertrochanteric hip fracture is a specific type of hip fracture that happens at a particular region of the thigh bone near the hip socket. It is a serious injury that causes severe pain, limits mobility, and potentially results in severe complications and demands high-priority surgery for treatment.
What is Intertrochanteric hip surgery, and what makes it a serious hip fracture? How is intertrochanteric hip fracture surgery performed and what care must be taken for recovery? We asked these questions to Dr Niraj Vora, a specialist orthopaedic surgeon and hip replacement expert in Mumbai. Read on to know the answers:
What is Intertrochanteric Hip Fracture?
The hip joint is a ball-and-socket joint made up of the femur (thigh bone) and the pelvis. The ball of the femur sits in the socket of the pelvis to form the joint, and the type of hip fracture is classified based on the area of the fracture along the bone and the socket.
Intertrochanteric hip fracture is a hip fracture that happens between the greater trochanter and lesser trochanter of the femur bones. The trochanters are the bony projections on the femur whose function is to serve as attachment points for the hip muscles. Naturally, the trochanters play a major role in the stability and movement of the hip joint. Breaking in the intertrochanteric region significantly limits mobility, preventing everyday functions making it a serious fracture.
Intertrochanteric hip fractures usually happen in older adults, as their bones are more fragile and prone to fracture. Intertrochanteric hip surgery is the only effective procedure for the treatment of this type of hip fracture.
Intertrochanteric Hip Fracture Surgery in Mumbai – How Is It performed?
The objective of intertrochanteric hip surgery is to realign the bones and stabilize them to enable healing of the bones and restoration of their function and hip movement.
The surgery is performed under anaesthesia, followed by an incision which depends on the severity of the fracture. The hip surgeon reaches out to the fractured bones and realigns them to their anatomical positions with the aid of surgical tools. The bones are positioned and perfectly stabilized using surgical hardware, which may include screws and metal implants. The stabilization is key to enable healing, and special care is taken to stabilize the broken hip bones. Upon achieving adequate stabilization, the incision is closed, and the patient enters into the recovery phase which may last for a while.
Intertrochanteric Hip Surgery: Road to Recovery:
The patient is monitored as they wake up after the anaesthesia and undergoes rehabilitation and physical therapy to accelerate recovery and improve mobility. The complete recovery after intertrochanteric hip surgery may take at least 3 months after the surgery. However, it’s important to note that each fracture is unique, the tools used, and the specifics of the procedure can vary. The precise recovery timeline also varies based on the severity of the fracture, the patient’s age, and their medical condition.
Proper nutrition, rest, hydration, mobility, and pain management are indeed key pillars for recovery. Given the old age, older adults may face an increased risk of infections and blood clots if existing medical conditions and medication regimens are not well-monitored. To prevent unnecessary complications, patients must diligently follow the advice of the hip specialist and maintain regular consultations.
Dr Niraj Vora is a hip surgeon and specialized hip replacement surgeon in Mumbai with an impeccable track record in treating intertrochanteric hip fractures. For more information on the intertrochanteric surgery procedure and recovery, you can contact him.