If the operation is successful, there are no complications and you follow your physical therapy plan, your new hip should give you long and healthy usage. However, prolonged discomfort in your replaced hip should not be expected. The duration of your therapy will depend on several factors, including your age and overall fitness.īrief episodes of pain and/or stiffness are common after a hemiarthroplasty. Patients tend to feel much better after the surgery, and usually return to walking quite quickly.Īny ongoing pain can be managed with medicines and physical therapy will help you to regain the motion and strength of your hip joint. Rehabilitation is initiated immediately and patients can usually walk with their full weight on the implant. In most cases of femoral neck fractures, the socket is left as it is. The fractured femoral head is removed, and replaced with a metal implant. An incision is made over the outside of the hip. The procedure is performed under general anesthesia or spinal anesthesia. Hip hemiarthroplasty is more suited to patients with displaced fractures because of the potential complications with trying to repair these fractures. In this procedure, the ball of the ball-and-socket joint is removed, and a metal implant is inserted into the joint. Hip replacements can work very well for less active patients, but they tend to wear out in more active patients.Ī hip hemiarthroplasty is half of a total hip replacement. Usually with patients under 60 years old, every effort is made to avoid a partial hip replacement. Important factors include the amount of displacement of the fracture and the age of the patient. Treatment of a femoral neck fracture depends on several factors and can be fixed in a number of ways, such as with a short gamma nail, long gamma nail or partial replacement (hemiarthroplasty). Increased pain in the hip during rotation of the leg.Shortening or sideways rotation of the affected leg.Due to this blood supply problem with femoral neck fractures, the recommended treatment is often a partial hip replacement. When blood flow is disrupted, fractures are at high risk of incorrect healing, especially when the fracture is significantly out of position. With femoral neck fractures, the blood supply to the fractured portion of bone is often damaged. Femoral neck fractures may be displaced, where the bone is moved out of its original position, or non-displaced, where there is no instability of the bone. Fractures to the femoral neck can completely or partially disconnect the femoral head from the rest of the femur. When a femoral neck fracture occurs, the ball is essentially disconnected from the rest of the femur. The neck of the femur is the region just below the ball of the hip joint.Ī femoral neck fracture is a particular type of hip fracture that occurs at the femoral neck. The hip is a ball-and-socket joint where the head of the thigh bone (femur) acts as a ball that fits into the rounded socket of the hip bone (acetabulum).
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