Hip fracture open reduction and internal fixation stabilizes a broken hip using screws, plates, or nails to allow early mobilization and healing of the fracture.
Indicated for intertrochanteric or subtrochanteric hip fractures and selected femoral neck fractures where internal fixation is preferred over arthroplasty based on patient age, activity level, and fracture pattern.
Performed under spinal or general anesthesia, typically taking 1 to 2 hours. Fluoroscopic guidance is used to place screws or a nail device to stabilize the fracture. Mobilization begins within 24 to 48 hours.
Risks include hardware failure, non-union, avascular necrosis, infection, blood clots, and the need for conversion to arthroplasty.
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