Hip Surgeons Hockessin DE
First State Orthopaedics PA
Medical School: Georgetown Univ Sch Of Med
Year of Graduation: 1986
Hospital: Christiana Care -Wilmington, Wilmington, De
Accepting New Patients: Yes
3.4, out of 5 based on 6, reviews.
Orthopedics, Internal Medicine
Medical School: Univ Of Rochester Sch Of Med & Dentistry, Rochester Ny 14642
Graduation Year: 1979
Hospital: Riverside Health Care Center, Wilmington, De; Christiana Care -Wilmington, Wilmington, De
Group Practice: Delaware Orthopaedic Ctr
Medical School: Temple Univ Sch Of Med, Philadelphia Pa 19140
Graduation Year: 1968
Orthopedic Surgery, Adult Reconstructive Orthopaedic Surgery
Accepting New Patients: Yes
2.7, out of 5 based on 7, reviews.
Hip Pinning Surgery for a Fractured Hip
A Patient's Guide to Hip Pinning Surgery for a Fractured Hip
A fractured hip can be a life-threatening problem. The hip fracture isn't usually a difficult problem to treat with surgery. But once the fracture occurs, it brings with it all the potential medical complications that can arise when aging adults are confined to bed. The goal of treatment is to get patients moving as quickly as possible after surgery. Surgery to pin the broken ends of the fracture together is fairly simple and allows patients to get up and begin moving shortly after surgery.
This guide will help you understand
How is the hip designed?
The femur is the large bone of the thigh. The ball-shaped femoral head on the end of the femur fits into a socket in the pelvis called the acetabulum. The femoral neck is a thinner part of the femur. It is the short section of bone that connects the femoral head to the main shaft of the bone. The bump on the outside of the femur just below the femoral neck is called the greater trochanter. This is where the large muscles of the buttock attach to the femur.
Hip fractures in aging adults happen either in the femoral neck or the intertrochanteric area. Fractures occur at about the same frequency for both areas.
Related Document: A Patient's Guide to Hip Anatomy
Related Document: A Patient's Guide to Hip Fractures
What does the surgeon hope to achieve?
Fixing the broken ends of the hip with metal pins or screws is a fairly simple procedure. The procedure requires only a small incision on the side of the hip, and the pins and screws usually provide a solid connection for the broken bones. Patients are able to move right away after surgery, so they are more likely to avoid the serious complications that can arise with being immobilized in bed.
Most hip fractures would actually heal without surgery, but the problem is that the patient would be in bed for eight to 12 weeks. Surgeons have learned over the years that confining an aging adult to bed for this period of time has a far greater risk of creating serious complications than the surgery required to fix a broken hip. The goal of the hip pinning procedure is to set the bones securely in place, allowing the patient to get out of bed as soon as possible.
The hip pinning procedure is used successfully after most fractures within the femoral neck. When the fractured bones have displaced, however, surgeons do not all agree that the hip pinning procedure is the best choice. This is because displaced fractures can damage the blood supply going to the femoral head, leading to avascular necrosis (AVN), a condition that causes the bone of the femoral head to die. With displaced fractures, the risk of developing AVN is so high that some surgeons may suggest not fixing the fracture but instead removing the f...