A fracture is a partial or complete break in a bone. There can be either a single break or multiple breaks in a bone. A hip fracture is classified by the specific area of the break and the type of break in the bone.
1.Femoral neck fracture: A femoral neck fracture occurs one to two inches from the hip joint. These fractures are common among older adults and can be related to osteoporosis. This type of fracture may cause a complication because the break usually cuts off the blood supply to the head of the femur which forms the hip joint.
2.Intertrochanteric hip fracture: An intertrochanteric hip fracture occurs three to four inches from the hip joint. This type of fracture does not interrupt the blood supply to the bone and may be easier to repair.
Your care team will probably get you out of bed and moving on the first day after surgery. Physical therapy will initially focus on range-of-motion and strengthening exercises. Depending on the type of surgery you had and whether you have assistance at home, you may need to go from the hospital to an extended care facility.In extended care and at home, you may work with an occupational therapist to learn techniques for independence in daily life, such as using the toilet, bathing, dressing and cooking. Your occupational therapist will determine if a walker or wheelchair may help you regain mobility and independence.
Up to 10 percent of adults age 65 or older who have a hip fracture will have another hip fracture within two years. Bisphosphonates and other medications for osteoporosis may help reduce the risk of a second hip fracture. To avoid side effects that may make oral bisphosphonates difficult to tolerate, your doctor may recommend taking them via intravenous (IV) tubing.
Bisphosphonates generally aren't recommended for people with kidney problems. Rarely, long-term bisphosphonate therapy might cause pain and swelling in the jaw, vision problems, or an atypical hip fracture.