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International Patient CareAdvanced ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery Hospital
At Medicover Hospitals, the open surgical approach for ORIF of Intertrochanteric Fracture with Dynamic Hip Screw is performed by skilled orthopaedic surgeons with qualifications like MS and DNB. This procedure ensures reduced blood loss, promoting quicker recovery and shorter hospital stays for patients.
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What is Orif of Intertrochanteric Fracture With Dynamic Hip Screw?
ORIF (Open Reduction and Internal Fixation) of Intertrochanteric Fracture with Dynamic Hip Screw is a surgical procedure to repair a fracture in the upper part of the femur (thigh bone). This involves realigning the broken bone and securing it with a dynamic hip screw, which allows for controlled movement and stability during healing. The dynamic hip screw is a metal implant that helps the bone heal properly.
This surgery is needed when there is a fracture in the intertrochanteric region of the femur, often due to falls or accidents. If untreated, it can lead to severe pain, immobility, and complications like non-union or malunion of the bone. Modern surgical approaches include minimally invasive techniques and image-guided surgery, which aim to reduce recovery time and improve outcomes.
Orif of Intertrochanteric Fracture With Dynamic Hip Screw Doctors Near You
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Complete Guide To Orif Of Intertrochanteric Fracture With Dynamic Hip Screw
Everything you need to know about the procedure, preparation, and recovery
ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery Indications
Doctors recommend ORIF of intertrochanteric fracture with a dynamic hip screw when non-surgical treatments are insufficient. This procedure is often necessary for stabilizing fractures in the hip region, especially in cases where mobility and healing are compromised.
Severe Hip Pain
Patients experience intense pain in the hip area, making movement difficult. On examination, doctors find significant tenderness and swelling. When pain persists despite medication and rest, surgery is considered.
Inability to Bear Weight
Patients cannot stand or walk due to the fracture. X-rays reveal displaced bone fragments. When weight-bearing is impossible even with physical therapy, surgical intervention is needed.
Fracture Displacement
Imaging shows that the fracture fragments have shifted significantly. Patients may feel instability in the hip. When conservative methods fail to realign the bones, surgery is required.
Failure of Conservative Treatment
Initial treatments like immobilization and physiotherapy do not improve the condition. Persistent symptoms and lack of healing on follow-up X-rays prompt the need for surgery.
Risk of Non-union
In some cases, fractures show poor healing potential. Doctors identify gaps or lack of callus formation on imaging. Surgery is advised to promote proper bone healing.
How to Prepare for ORIF of Intertrochanteric Fracture with Dynamic Hip Screw?
Proper preparation for ORIF of an intertrochanteric fracture with a dynamic hip screw is crucial. It helps ensure a smooth procedure and aids in recovery. Follow these steps for optimal results.
- Medication Review: Stop NSAIDs, anticoagulants, and herbal supplements as advised by your doctor.
- Fasting Guidelines: Fast for at least 8 hours before the surgery if general anaesthesia is planned.
- Pre-Surgery Tests: Complete any required blood tests, X-rays, or ECGs as instructed.
- Personal Items: Wear loose clothing and avoid bringing valuables to the hospital.
- Transport Arrangement: Arrange for someone to drive you home post-surgery.
- Medication List: Bring a list of current medications with dosages for the medical team.
- Pre-Op Instructions: Follow any specific instructions given by your surgeon or anaesthetist.
- Home Preparation: Prepare your home for easy mobility post-surgery, like removing tripping hazards.
ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery (Step-by-Step)
This procedure is performed by orthopaedic surgeons. It typically lasts 1-2 hours. General or regional anaesthesia is used.
- Preparation: The patient is positioned on the operating table. Anaesthesia is administered to ensure comfort and pain-free surgery.
- Incision: A 5-10 cm incision is made on the side of the hip. This allows access to the fractured bone.
- Fracture Reduction: The surgeon uses instruments like a bone clamp to align the fractured bone fragments properly.
- Guide Wire Insertion: A guide wire is inserted through the femur to ensure correct positioning of the dynamic hip screw.
- Reaming: A reamer is used to create a channel in the bone for the screw. This step is crucial for fitting the implant.
- Dynamic Hip Screw Placement: The dynamic hip screw, along with a side plate, is inserted and secured using screws. This stabilizes the fracture.
- Closure: The incision is closed with sutures or staples. A sterile dressing is applied to protect the wound.
Who Performs ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery?
This surgery is performed by orthopaedic surgeons. They specialise in treating bone and joint conditions. Their expertise ensures proper alignment and fixation of fractures.
Recovery After ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery
Recovery from ORIF of intertrochanteric fracture with dynamic hip screw surgery involves gradual healing and rehabilitation. Patients can expect to regain mobility and strength over time with proper care and guidance.
Day 1-3:
- Hospital stay is common. Pain management and monitoring are priorities.
- Begin with light physiotherapy exercises as advised by the doctor.
- Diet includes soft, easy-to-digest foods like curd, dal-rice, and soups.
Day 4-7:
- Gradual increase in mobility with the help of a walker or crutches.
- Continue physiotherapy to improve joint movement.
- Include protein-rich foods like moong dal and khichdi in the diet.
Day 8-14:
- Focus on strengthening exercises under supervision.
- Regular follow-up with the healthcare provider for wound check.
- Maintain a balanced diet to support bone healing.
Phase 3-6 Weeks:
- Gradual return to daily activities, avoiding strenuous tasks.
- Continue physiotherapy to enhance strength and flexibility.
- Consult the doctor before resuming work or school.
Phase 6-12 Weeks:
- Increased independence in movement.
- Regular check-ups to monitor healing progress.
- Resume normal diet, ensuring adequate calcium and vitamin D intake.
When to Seek Urgent Help:
- Severe pain unrelieved by medication.
- Signs of infection: redness, swelling, or discharge at the surgical site.
- Sudden difficulty in moving the leg or bearing weight.
Please contact the hospital for current details as insurance panels may change.
Benefits of ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery
Open Reduction and Internal Fixation (ORIF) with a Dynamic Hip Screw is a common procedure for stabilising intertrochanteric fractures.
- Stability: Provides strong and stable fixation for the fractured bone.
- Early Mobility: Allows patients to begin rehabilitation and regain mobility sooner.
- Reduced Pain: Helps in alleviating pain by stabilising the fracture site.
- Improved Healing: Promotes proper alignment and healing of the bone.
Risks and Complications of ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery
While generally safe, ORIF with a Dynamic Hip Screw carries some risks and potential complications.
- Common: Infection at the surgical site.
- Common: Blood clots forming in the legs or lungs.
- Rare: Implant failure or loosening.
- Rare: Nerve or blood vessel damage during surgery.
- Rare: Non-union or delayed healing of the fracture.
- Rare: Allergic reaction to the materials used in the implant.
Cost of ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery
The cost of ORIF of Intertrochanteric Fracture with Dynamic Hip Screw Surgery at Medicover Hospitals ranges from Rs.45000 to Rs.200000. The price varies depending on the ward category chosen, such as general, twin sharing, or private rooms.
We offer transparent pricing and support for insurance and TPA, including CGHS, ESI, and major TPAs. Cashless facility is available 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 ORIF of Intertrochanteric Fracture with Dynamic Hip Screw surgery cost at Medicover Hospitals?
The cost for ORIF of Intertrochanteric Fracture with Dynamic Hip Screw surgery varies Rs.45000 to Rs.200000 across Medicover Hospitals. Please contact the hospital for the current price range.
2. Is ORIF of Intertrochanteric Fracture with Dynamic Hip Screw surgery covered under health insurance at Medicover?
ORIF of Intertrochanteric Fracture with Dynamic Hip Screw may be covered by CGHS, ESI, and major TPAs. Please contact the hospital for current panel details.
3. Can I walk immediately after hip surgery?
Walking is usually encouraged soon after surgery with assistance. Full weight-bearing typically resumes in a few weeks, guided by your doctor.
4. Will I need physiotherapy after hip surgery?
Yes, physiotherapy is crucial for recovery after hip surgery. It helps restore movement and strength in the hip joint.
5. What are the risks of hip screw surgery?
Common risks include infection, blood clots, and implant failure. Discuss potential complications with your surgeon before the procedure.
6. Can I sit cross-legged after hip surgery?
Sitting cross-legged is generally discouraged immediately after surgery. Follow your doctor's advice on when such movements can be resumed.
7. What diet should I follow after hip surgery?
A balanced diet with protein-rich foods like dal-rice and curd is recommended. It aids in healing and maintaining bone health after surgery.
8. How long does a dynamic hip screw last?
A dynamic hip screw is designed to be permanent and can last a lifetime if there are no complications. In most patients, it does not need to be removed unless it causes pain, infection, or mechanical issues.
9. How serious is an intertrochanteric fracture?
An intertrochanteric fracture is a serious hip injury, especially in older adults, as it can limit mobility and lead to complications. With timely surgery and rehabilitation, most patients can recover well, but healing may take several months.
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