
Hip Pinning Surgery for a Fractured Hip: A Patient’s Guide
Overview
Hip pinning surgery is a procedure commonly used to treat a fractured hip, a serious injury that can significantly impact a person’s mobility and quality of life. A fractured hip occurs when the top of the thigh bone (femur) breaks near the hip joint. This type of injury is more common in older adults due to age-related changes in bone density, but it can also occur in younger individuals as a result of trauma or accidents.
Types
There are different types of hip fractures, classified based on the specific location and severity of the break. Common types of hip fractures include:
- Intracapsular fractures: These fractures occur within the hip joint capsule.
- Intertrochanteric fractures: These fractures happen between the greater and lesser trochanters of the femur.
- Subtrochanteric fractures: These fractures occur below the lesser trochanter of the femur.
Causes
The most common cause of a hip fracture is a fall, especially in older adults. Other risk factors that can increase the likelihood of a hip fracture include:
- Osteoporosis, a condition that weakens bones and makes them more susceptible to fractures.
- Certain medical conditions, such as cancer or metabolic disorders.
- Taking medications that weaken bones, such as corticosteroids.
- Being female, as women are more likely to develop osteoporosis.
Symptoms
Symptoms of a fractured hip may include:
- Severe pain in the hip or groin area.
- Inability to bear weight on the affected leg.
- Swelling and bruising around the hip joint.
- Shortening or outward rotation of the affected leg.
- Stiffness and difficulty moving the hip joint.
Diagnosis
A fractured hip is typically diagnosed through a combination of physical examination, imaging tests, and medical history review. Common diagnostic tests for hip fractures include:
- X-rays: These can show the location and severity of the fracture.
- MRI or CT scans: These imaging tests can provide more detailed information about the fracture and any associated injuries.
- Bone density tests: These tests can help identify underlying osteoporosis that may have contributed to the fracture.
Treatment Options
The treatment for a fractured hip often involves surgery to stabilize the bone and allow for proper healing. Hip pinning surgery is a common procedure used to realign the broken bone fragments and secure them in place with metal screws, nails, or plates.
Other treatment options may include:
- Traction: This involves the use of weights and pulleys to help realign the fractured bone.
- Hip replacement surgery: In some cases, a severely damaged hip may need to be replaced with an artificial joint.
Living With Hip Pinning Surgery for a Fractured Hip
After hip pinning surgery, it is important to follow your healthcare provider’s recommendations for rehabilitation and recovery. Here are some tips for managing life with a fractured hip:
- Physical therapy: Engage in regular physical therapy sessions to strengthen the muscles around the hip joint and improve mobility.
- Pain management: Take prescribed pain medications as directed and use ice packs or heat therapy to manage discomfort.
- Assistive devices: Use assistive devices such as crutches or a walker to help you move around safely.
- Fall prevention: Modify your home environment to reduce the risk of falls, such as removing tripping hazards and installing grab bars in the bathroom.
When to Seek Help
It is important to seek medical help immediately if you experience any of the following symptoms after hip pinning surgery:
- Sudden onset of severe pain in the hip or leg.
- Swelling, redness, or warmth around the surgical incision.
- Fever or chills.
- Numbness or tingling in the leg.
- Difficulty breathing or chest pain.
By following your healthcare provider’s recommendations and taking proactive steps to manage your recovery, you can improve your outcomes and get back to enjoying a full and active life after hip pinning surgery for a fractured hip.


