Hip Fracture Fixation

Technique:

Treatment for an intertrochanteric fracture can usually be done through open reduction internal fixation (ORIF) or intramedullary hip screws (IMHS), techniques that use surgical hardware to hold the fractured bone in place as it heals.  These metal plates and screws are inserted into the hip and the bones are positioned in place and then secured with the hardware.

What to Expect-Day of Surgery:

This is an inpatient surgery; the average stay in the hospital is 1-2 days. The procedure takes typically 2-3 hours, depending on the complexity. The patient will undergo general or spinal anesthesia; your anesthesiologist will discuss this with you prior to the surgery.  After the surgery is complete, you will be taken to the recovery room where you will stay for approximately 1-2 hours until stable. You will then go to your room. You will start physical therapy typically the day of surgery if the surgery is early in the morning or the next day if the surgery is later in the day. Appropriate pain medicines are prescribed to make you comfortable.

What to Expect-After Surgery:

You will do physical therapy every day. Your dressing will be changed on the second or third day after surgery. There is a risk of developing blood clots in the legs after this surgery and hence, you will receive an injection of a type of "heparin" to prevent this. You will continue this at home for 2-3 weeks. Most likely, you will be discharged home. Occasionally, if you need the additional help, you may go to a rehab facility for a few days. Prior to going home, all arrangements will be made to arrange for home visiting personnel, equipment and medicines. You will follow up with Dr. Ahluwalia in 10-14 days after surgery. At that visit, further physical therapy and activity restrictions will be discussed.