Hip fractures refers to a break, crack, discontinuity of the bone of the hip. These injuries are very commonly caused by osteoporosis (brittle bones) and are classified to the location of fracture. Hip fractures are either a fragility-linked fracture, which is likely due to osteoporosis weakened bones with a mild trauma; or traumatic-fractures in younger individuals due to motor vehicle accidents, sports or falls from heights.
Signs and symptoms
Signs and symptoms are usually presentations of moderate to significant pain, and inability to weight bear on the affected leg or hip, much less walk on it. Upon examinations, patient's hip joint is often in partial flexion and hip externally rotated.
Higher risk factors includes: ageing, osteoporosis, metabolic diseases, cancer, bone infection.Management
Most of the time, surgical intervention is prescribed where patient has an implanted orthoses to support the hip and fracture. Following surgery is usually a lot of pain, decreased mobility. Physiotherapy involvement before and after surgery is paramount to the amount of mobility, function and independence in the long run.
Physiotherapy would include chest physiotherapy to ensure chest is strong and clear from any infections, exercise therapy to decrease swelling, increase blood flow and range of motion, decrease stiffness. In the earlier rehab stages, more focus will be on simple and short distance mobility, but as the fracture heals and strengthens, we will increase the intensity, duration and frequency to include more tough exercises such as stair climbing, incline and recline grounds etc.
Our patients with hip fractures respond well to physiotherapy and exercise therapy post operatively. Those who develop chest issues are able to clear their chest with chest physiotherapy,
as we slowly rehabilitate them to increase their strength and mobility,
before discharge to their homes or their children's homes. Some even
return back to their homes without the need for any carers.