Subtrochanteric Hip Fractures Treatment | Dr Niraj Vora

Subtrochanteric Hip Fractures Treatment

Subtrochanteric fractures are the most painful and challenging hip fractures patients across all ages suffer. Though rare and account for only 10% of cases, they can be a nightmare for people suffering from potential complications, less propensity to heal, and a long recovery road.

These agonizing fractures can happen due to both high-energy and low-energy traumas. They can happen to anyone of all ages. But these are even more likely to happen to people with pre-existing conditions, which makes them even more challenging to treat by hip replacement surgeons.

Fortunately, better ways exist to treat and improve surgical outcomes of these complicated fractures. In this blog, we will delve into this specific type of hip fracture and let you know the treatment options available, with input from the top hip replacement surgeon in Mumbai, Dr. Niraj Vora. Read on:

What is a Subtrochanteric Fracture?

A Subtrochanteric fracture is a fracture to the hip that occurs between the femoral neck and the greater trochanter area of the hip. This area is usually 2.5 to 5 cm below the lesser trochanter, a small bump near the femoral neck. Because this area is a critical weight-bearing region, this fracture weakens the structural integrity of the hip, causing a host of problems.

Subtrochanteric Hip Fracture – Excruciatingly Painful to Cope & Extremely Challenging to Treat

All fractures are painful and difficult to cope with, but what makes hip fractures more problematic is their role in everyday movement and weight-bearing. Being in the functional part of the weight-bearing hip is the last area that one would want to get injured as it compromises activity and becomes difficult to heal due to its location. According to the hip replacement surgeon in Mumbai, Dr Niraj Vora, Here are the reasons why Subtrochanteric hip fractures are too challenging to treat and are painful to cope with:

Location of the Fracture: The area where the Subtrochanteric fractures happen is filled with high-density nerves, and as a result, any fracture here causes extreme pain.

Limited Blood Supply: While the density of nerves is high, the blood supply is limited, and hence, the propensity for healing is also little, leading to slow recovery timelines.

Muscle Interference: The hip is a region where different types of muscles exert their force, and when the bone is fractured, these forces tend to pull the fractures, leading to severe pain and slow recovery

Complexity in Surgery: More nerves, less blood supply, muscle interference, and complex anatomy of the hip together make the surgery complex for hip specialists.

Risk of Complications: Due to the complexity of the location and severe nature of the fractures, this type of hip fracture involves a high risk of complications like improper alignment of the fractures, infection, and prolonged recovery.

Subtrochanteric Hip Fracture Treatment:

Treating complex Subtrochanteric hip fractures typically involves a combination of surgical and non-surgical treatment approaches. “The Subtrochanteric hip fracture treatment always depends on the specific pattern, severity of the fracture, and the patient’s medical health and condition,” says a hip specialist in Mumbai, Dr. Niraj Vora. Here are three common Subtrochanteric hip fracture treatments usually performed by hip specialists:

Intramedullary Nailing: Surgery involves placing a metal rod to support the femur and ensure healing.

Open Reduction and Internal Fixation (ORIF): Hip surgeons use surgical hardware like plates, screws, and other devices to align the hip and stabilize the fracture.

Prosthetic Hip Replacement: A partial or total hip replacement surgery may be necessary for patients who suffer severe fractures and have poor bone quality. This procedure involves replacing the damaged hip joint with an artificial joint to ensure similar movement and function.

In addition to the above surgical options, non-surgical options like traction, palliative care, and rehabilitation are used with surgical treatments to reduce pain and trigger healing.

Given the complexity of the surgery, a qualified hip surgeon in India prescribes a comprehensive treatment plan that involves surgical, non-surgical, and rehabilitation plans along with timelines to ensure swift and complete recovery. If you are in Mumbai and looking for more information about the Subtrochanteric hip fracture treatment and hip replacement surgery, hip surgeon Dr. Niraj Vora will gladly guide you. You can contact him here.

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