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International Patient CareIntertrochanteric Femur Fracture Surgery Hospital by Expert Orthopedics
At Medicover Hospitals, intertrochanteric femur fractures are treated using open surgical approaches. Our team of orthopaedic experts, with qualifications like MS and DNB, ensure precise management. This approach typically results in shorter hospital stays for patients across India.
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What is Intertrochanteric Femur Fracture?
An Intertrochanteric Femur Fracture is a type of break in the upper part of the thigh bone (femur). This fracture occurs between the greater and lesser trochanter, which are the bony prominences near the hip joint. It is commonly seen in older adults due to weakened bones from osteoporosis.
Surgery is often needed to fix this fracture. It helps restore mobility and prevent complications. Conditions like falls or direct trauma can lead to this fracture. If left untreated, it can cause prolonged immobility and other health issues. Modern surgical approaches include internal fixation using screws and plates or a dynamic hip screw. These methods help in stabilizing the fracture effectively.
Intertrochanteric Femur Fracture Doctors Near You
Find expert orthopedics for intertrochanteric femur fractures at Medicover Hospitals across India. Choose your city and book a consultation to receive specialised care tailored to your needs.
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Complete Guide To Intertrochanteric Femur Fracture
Everything you need to know about the procedure, preparation, and recovery
Intertrochanteric Femur Fracture Surgery Indications
Doctors recommend intertrochanteric femur fracture surgery when the fracture impacts mobility and quality of life. This procedure is often necessary when non-surgical treatments fail to provide relief or stability.
Severe Pain and Swelling
Patients often experience intense pain and swelling in the hip region. This pain may worsen with movement or weight-bearing. If pain management and rest do not alleviate symptoms, surgery may be indicated.
Inability to Bear Weight
Many patients find it impossible to stand or walk due to the fracture. This inability to bear weight is a critical sign. When physical therapy and support devices do not improve mobility, surgical intervention is considered.
Displacement of Bone Fragments
Imaging tests may reveal displaced bone fragments. This displacement can lead to improper healing. If realignment through conservative methods fails, surgery is necessary to fix the bones in place.
Non-Union of Fracture
In some cases, the fracture does not heal naturally over time. This non-union is evident through persistent pain and abnormal imaging results. Surgery becomes essential to promote proper healing.
Compromised Blood Supply
Doctors may find that the fracture disrupts blood flow to the femoral head. This can lead to avascular necrosis. If blood supply cannot be restored through other means, surgery is required to prevent further complications.
How to Prepare for Intertrochanteric Femur Fracture?
Proper preparation is crucial for a successful intertrochanteric femur fracture surgery. It helps minimise risks and ensures a smoother recovery process.
- Medication Review: Inform your doctor about all medications. Stop NSAIDs, anticoagulants, and herbal supplements as advised.
- Fasting Requirements: Fast for at least 8 hours before surgery if general anaesthesia is planned.
- Pre-Surgery Tests: Complete all required blood tests, X-rays, or ECGs as instructed by your healthcare provider.
- Clothing: Wear loose, comfortable clothing on the day of surgery to ease dressing and movement post-operation.
- Transport Arrangements: Arrange for someone to drive you home after the procedure, as you will not be able to drive yourself.
- Medication List: Bring a list of all medications you are currently taking, including dosages, to the hospital.
- Home Preparation: Prepare your home for easy access and safety, removing tripping hazards and arranging a comfortable resting area.
- Support System: Arrange for someone to assist you at home during the initial recovery period.
Intertrochanteric Femur Fracture Surgery (Step-by-Step)
Overview: This procedure is performed by orthopedic surgeons. It typically lasts 1 to 2 hours. General or regional anaesthesia is used to ensure the patient feels no pain during the surgery.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort.
- Incision: A 5-10 cm incision is made on the side of the thigh to access the fractured area.
- Reduction: The surgeon aligns the fractured bone fragments. Instruments like bone clamps are used to hold the bones in place.
- Fixation: A metal device, such as a dynamic hip screw or intramedullary nail, is inserted to stabilize the fracture. This helps the bone heal correctly.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
- Recovery: The patient is moved to a recovery room. Vital signs are monitored as the anaesthesia wears off.
Who Performs Intertrochanteric Femur Fracture Surgery?
Orthopaedic surgeons, who specialise in bone and joint conditions, perform this surgery. They have expertise in managing fractures and ensuring proper bone healing. Their training allows them to use surgical tools effectively for successful outcomes.
Recovery After Intertrochanteric Femur Fracture Surgery
Recovery from intertrochanteric femur fracture surgery involves gradual healing and rehabilitation. Patients can expect to regain mobility over time, with specific milestones to achieve at each stage.
Day 1-3:
- Hospital stay is common. Pain management and monitoring are crucial.
- Begin with a liquid diet, gradually introducing soft foods like soups and khichdi.
Day 4-7:
- Physical therapy may start to encourage gentle movement.
- Focus on a balanced diet with curd, dal-rice, and moong dal to support healing.
- Use of a walker or crutches is likely for mobility support.
Week 2-4:
- Continue physiotherapy to improve strength and flexibility.
- Gradually increase activity levels as advised by the healthcare team.
- Return to work or school may be possible, depending on the nature of the activity.
Month 2-3:
- Most patients can resume light activities and more regular routines.
- Continue with a nutritious diet to aid bone healing.
- Regular follow-up appointments to monitor progress.
When to Seek Urgent Help:
- Severe pain or swelling that does not improve.
- Signs of infection, such as fever or redness at the surgical site.
- Sudden difficulty in moving the leg or bearing weight.
Benefits of Intertrochanteric Femur Fracture Surgery
Intertrochanteric femur fracture surgery aims to restore mobility and improve quality of life. Here are some benefits:
- Improved Mobility: Helps regain the ability to walk and perform daily activities.
- Pain Relief: Reduces pain associated with the fracture, enhancing comfort.
- Faster Recovery: Surgical intervention can lead to quicker rehabilitation compared to non-surgical methods.
- Stabilisation of Fracture: Provides stability to the fractured bone, promoting proper healing.
Risks and Complications of Intertrochanteric Femur Fracture Surgery
While the surgery is generally safe, there are potential risks and complications involved.
- Infection (Common): Risk of infection at the surgical site.
- Blood Clots (Common): Possibility of developing clots in the legs or lungs.
- Implant Failure (Rare): The surgical hardware may fail, requiring additional surgery.
- Nerve Damage (Rare): Potential for nerve injury during the procedure.
- Bleeding (Common): Blood loss during surgery may require transfusion.
- Non-union (Rare): The fracture may not heal properly, necessitating further treatment.
Cost of Intertrochanteric Femur Fracture Surgery
The cost of Intertrochanteric Femur Fracture Surgery at Medicover Hospitals ranges from Rs. 90,000 to Rs. 144,000. The price varies depending on the ward category chosen, such as general, twin sharing, private, or deluxe options. We ensure transparent pricing to help you make informed decisions.
Insurance and TPA support, including CGHS, ESI, and major TPAs, is available, along with a cashless facility for your convenience. Please contact the hospital for the latest insurance panel details as these may change periodically.
Frequently Asked Questions
1. How much does Intertrochanteric Femur Fracture surgery cost at Medicover Hospitals?
The cost ranges from Rs. 90,000 to Rs. 144,000 across Medicover Hospitals, depending on the type of room and care required.
2. Is Intertrochanteric Femur Fracture surgery covered under health insurance at Medicover?
Yes, it is often covered by CGHS, ESI, and major TPAs, with cashless options. Please contact the hospital for current panel details.
3. Will I need a walker after Intertrochanteric Femur Fracture surgery?
Yes, a walker is typically needed for initial mobility support. It helps in stabilising and reducing weight on the healing femur.
4. Can I climb stairs after Intertrochanteric Femur Fracture surgery?
Climbing stairs is generally restricted initially to prevent strain. Gradual resumption is advised, often starting a few weeks post-surgery.
5. Will my leg length change after Intertrochanteric Femur Fracture surgery?
Leg length discrepancy can occur but is usually minimal. Surgeons aim to maintain equal leg lengths during the procedure.
6. What foods should I eat after Intertrochanteric Femur Fracture surgery?
Consume calcium-rich foods like curd and protein-rich foods like dal-rice. These help in bone healing and overall recovery.
7. How soon can I drive after Intertrochanteric Femur Fracture surgery?
Driving is generally not recommended for at least 6-8 weeks. It depends on individual recovery and doctor's advice.
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