Hip fractures are orthopedic injuries that are frequently encountered, especially in elderly individuals, and can lead to serious consequences. These fractures usually occur as a result of traumatic events such as falls, and if left untreated, can significantly reduce quality of life and, in some cases, pose a life-threatening risk. The hip is a complex structure located between the upper part of the femur (thigh bone) and the pelvis. Hip fractures mostly occur in the femoral neck or trochanteric region. Fractures in these areas restrict mobility, cause severe pain, and can make the patient bedridden for a long period.
Hip fractures can vary depending on age, gender, bone density, and lifestyle. Therefore, the diagnosis and treatment process should be planned specifically for each individual. Healme Clinic offers comprehensive healthcare services for the diagnosis and treatment of hip fractures using modern techniques and a multidisciplinary approach.
Hip fractures are classified according to their anatomical location, and treatment approaches differ based on this classification.
Femoral Neck Fractures (Cervical Fractures): The femoral neck, located between the hip joint and the thigh bone, is the most frequently fractured area in osteoporotic individuals. As this area is critical in terms of blood circulation, fractures here should be carefully evaluated surgically.
Intertrochanteric Fractures: These fractures occur between the femoral head and the greater trochanter. They are commonly seen in the elderly and the treatment process may vary depending on bone quality.
Subtrochanteric Fractures: These occur just below the trochanteric region of the femur. They are rarer but more difficult to treat and usually require surgical intervention.
Pathological Fractures: These are hip fractures that occur in weakened bones due to underlying conditions such as bone tumors, infections, or osteoporosis. The treatment of such fractures must also consider the underlying disease.
The most common cause of hip fractures is falling. In elderly individuals with weakened bones due to osteoporosis, even a simple household accident can lead to serious fractures. In younger individuals, however, high-energy trauma (such as traffic accidents or falls from heights) is a more frequent cause.
Osteoporosis: With age, bone density decreases, making bones more brittle. Since the hip is a weight-bearing part of the body, fractures often occur in the femoral neck.
Muscle Weakness and Balance Disorders: Reduced muscle strength and balance problems increase the risk of falling. These factors are among the primary causes of hip fractures, especially in the elderly.
Environmental Factors: Slippery surfaces, inadequate lighting, and unsuitable home arrangements can increase the risk of falling and lead to fractures.
Chronic Diseases: Neurological and metabolic diseases such as Parkinson's, diabetes, and stroke can restrict mobility and thus increase the risk of hip fractures.
Hip fractures usually present with distinct and urgent symptoms. Depending on the severity and location of the fracture, symptoms may vary. The most common symptoms include:
Severe Hip and Groin Pain: Sudden and severe pain occurs after trauma, often accompanied by the inability to walk.
Loss of Mobility: The fractured area cannot be moved. The patient cannot stand up or walk.
Shortening and Outward Rotation of the Leg: The leg may become shorter and rotate outward due to the hip fracture. This indicates displacement of the fracture.
Swelling and Bruising: Bleeding and edema may occur between tissues in the fractured area.
Accurate diagnosis is the cornerstone of the treatment process. At Healme Clinic, hip fractures are diagnosed using modern imaging methods and expert medical evaluations.
Physical Examination: The doctor checks the painful area, evaluates the leg's position, and observes movement restrictions.
X-ray: This is the first-choice imaging method for diagnosing hip fractures. It shows the location and type of fracture.
Computed Tomography (CT): Used when detailed evaluation of the fracture line is necessary.
Magnetic Resonance Imaging (MRI): Preferred when the fracture is hidden within the bone marrow or if there is suspected soft tissue damage.
The treatment of hip fractures is planned by considering the type of fracture, the patient's age, bone density, and general health status. At Healme Clinic, a personalized treatment protocol is created for each patient.
Non-Surgical Treatment: In very rare cases, especially when the fracture is non-displaced and the patient is not suitable for surgery, conservative treatment may be applied. However, this method is rarely preferred.
Surgical Treatment Methods:
Internal Fixation (Screws and Plates): Fractured parts are anatomically aligned and fixed with metal screws/plates. Generally used in young patients and stable fractures.
Partial Hip Replacement (Hemiarthroplasty): A surgical method where the femoral head is replaced. Usually preferred in femoral neck fractures.
Total Hip Replacement (Total Hip Arthroplasty): Both the femoral head and the hip socket are replaced. Preferred in elderly patients when the fracture is accompanied by joint degeneration.
Rehabilitation and Physical Therapy: After surgical intervention, rehabilitation is initiated to help patients regain walking ability, balance, and muscle strength. At Healme Clinic’s physiotherapy department, personalized exercise programs are developed to prevent permanent functional loss.
The recovery process depends on many factors such as the patient's age, bone quality, treatment method, and compliance with rehabilitation. Generally, healing after a hip fracture takes between 6 to 12 weeks. However, full functional recovery may take longer.
Initial Phase: The first few weeks after surgery are critical to prevent complications such as infection and embolism. There may be movement restrictions during this period.
Intermediate Phase: Walking exercises gradually begin with physiotherapy. Muscle strength is increased, and balance is restored.
Long-Term Phase: Most patients can return to daily activities within 3 to 6 months. However, full recovery may take up to 1 year in some cases.
Healme Clinic offers modern and patient-centered solutions for hip fracture treatment with its expert staff in orthopedics and traumatology. All processes, from diagnosis to surgery, post-operative care, and rehabilitation, are carried out with a multidisciplinary approach. The advanced technological devices and current surgical techniques used within the clinic make the treatment process safe and successful.
A personalized treatment plan is created for every individual experiencing a hip fracture. The experienced orthopedic specialists at Healme Clinic determine the most appropriate method to restore the patient’s quality of life and closely monitor the process. With rehabilitation services, patients are supported for a faster and safer return to daily life.
Hip fractures are serious but can be successfully managed with appropriate treatment and professional care. Healme Clinic continues to stand by its patients at every stage of this process.
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