“In our Traumalogy and Orthopedics service, we evaluate the need for surgical treatment depending on the location and configuration of the fracture, as well as the functional status of the patient. The devices to treat a fracture are multiple and include the placement of plates and screws, intramedullary nails and total or partial hip replacements”, says Dr. Alfonso Lazo, a leading traumatologist, orthopedics-surgeon at our clinic.

What is a hip fracture?

It is an acute bone lesion located in the proximal area of the femur, composed of three segments: trochanteric area, neck and head. The fracture can occur in any of these regions, the most frequent being the trochanteric and the neck of the femur.

What are its symptoms?

The main symptom is pain that occurs after a simple fall, which prevents the patient from leaning on the injured limb. The fractured leg is shortened in size and turned outward. Bruising and swelling may occur in and around the hip area.

What risk factors are most common for a hip fracture in old age?

• Osteoporosis. As it decreases the quantity and quality of calcium in the bones, predisposing to fractures with slight impacts
• Gender. Hip fractures are more frequent in women since osteoporosis is more prevalent in them; additionally, they lose bone density faster than men
• Chronic conditions of the patient. Some diseases increase the risk of falls by causing brittle bones, for example, endocrine disorders such as an overactive thyroid or intestinal disorders that can reduce the absorption of vitamin D and calcium, etc.

What complications can a hip fracture have?

Operative wound infections, venous thrombosis of the lower limbs, pneumonia and urinary tract infection are the most frequent. It should be noted that the objective of the surgery is for the patient to move quickly, since these complications can occur while the patient is immobilized.

Our specialist recommends:

The most important recommendation is to take to the emergency service as quickly as possible any elderly patient who suffers a fall and has pain in the hip area, in order to carry out a diagnosis and satisfactory and definitive treatment of the fracture as quickly as possible.

Dr. Alfonso Lazo
Traumatologist, orthopedics-surgeon at Clínica Ricardo Palma