Hip Fractures

Hip fractures occur especially in older age groups, often as a result of simple falls, but they can also occur in young individuals due to high-energy trauma. Pre-existing conditions in older individuals such as diabetes, hypertension, and cardiovascular problems increase the risk associated with surgical interventions performed after the fracture, which already impose a significant burden on the body.

In elderly patients, a hip fracture can occur when a direct impact to the lateral side of the hip causes the force to be transmitted to the femoral head, resulting in a fracture. It can also occur when the thigh is forcibly externally rotated, causing the hip bone to become trapped in the socket.

The primary goal in elderly hip fracture cases is to restore functionality as quickly as possible, aiming to regain the pre-fracture level of function.

Hip Fracture Surgery should not be hindered by the patient’s old age. If the patient is mobile and able to perform daily activities before the fall, they should definitely undergo surgery.

When deciding between a hip prosthesis or hip nailing for hip fracture surgery, the type of fracture, bone density, overall health condition, presence of other diseases, and walking potential of the patient should all be taken into consideration.

In recent years, hip nailing has been preferred for the purpose of preserving the hip bone, minimizing circulation disruption, and reducing blood loss, although hip replacement with early weight-bearing and mobilization was more common in the past.

Hip Impingement Issues

Symptoms: Labral tears often do not cause any noticeable symptoms. However, they can sometimes lead to hip locking, catching sensation, pain in the hip and groin, limited range of motion in the hip joint, and difficulty walking.

Soft Tissue Problems around the Hip

Avascular Necrosis of the Hip

Hip Pain

The most common cause of hip pain is osteoarthritis. Osteoarthritis can occur due to developmental abnormalities in the hip, arthritis (inflammatory rheumatic diseases), previous traumas or fractures.

Joint inflammation (bursitis) Sciatica

Postoperative Rehabilitation After Total Hip Replacement

Muscle weakness can persist in many patients after total hip arthroplasty. Therefore, physical therapy and rehabilitation are crucial. During early and intensive rehabilitation, precautions should be taken to prevent complications. Patients should be educated to avoid dislocated positions and appropriate measures should be taken during transfers. If a cementless total hip prosthesis is used, partial weight-bearing with a walker is initiated within approximately 1 week to 10 days. In the following weeks, patients are gradually encouraged to walk independently.