Fractured Hip

A fractured hip is a serious orthopedic injury that can significantly impact mobility, independence, and overall health, especially in older adults. In this article, we’ll explain what a hip fracture is, what causes it, the signs to watch for, and how it’s treated.

If you or a loved one are experiencing hip pain or have recently suffered an injury, don’t wait. Schedule an appointment with Orthopedic Specialists & Sports Medicine, serving Granville and Coshocton, Ohio, to receive expert care from trusted orthopedic surgeons.

What is a Hip Fracture?

A hip fracture is a break in the upper part of the femur (thigh bone) near the hip joint. Most hip fractures occur in two primary locations: the femoral neck, which connects the femoral head to the rest of the femur, and the intertrochanteric region, which lies slightly lower on the bone. Less commonly, femoral head fractures or fractures involving the pelvic bone may occur, often from severe trauma.

Hip fractures are most common in elderly patients due to decreased bone density, but they can also occur in younger individuals following high-impact events like car accidents or falls from height.

A woman with a fractured hip holding it in pain in Ohio.

What Causes Hip Fractures?

Several risk factors increase the likelihood of hip fractures, including:

  • Osteoporosis or low bone density
  • Advanced age
  • Gender (women are more at risk)
  • Poor nutrition
  • Inactivity or lack of strength and balance
  • Severe trauma, such as motor vehicle accidents
  • Certain medical conditions, like avascular necrosis, which affects the blood supply to the femoral head
 

While younger individuals typically fracture a hip due to high-energy trauma, most hip fractures in older adults are caused by minor falls or even twisting movements due to weakened bones.

What Are the Symptoms of a Hip Fracture?

The hallmark symptom of a fractured hip is sudden, severe hip pain following a fall or injury. Other common symptoms include:

  • Inability to walk or stand
  • Pain in the groin, upper femur, or outer thigh
  • Leg that appears shorter or turned outward
  • Swelling or bruising in the hip area
  • Difficulty moving the leg
 

These symptoms are especially concerning in elderly patients who fall, as acute hip fractures often require urgent medical intervention.

How Painful is a Hip Fracture?

Hip fractures are typically extremely painful, especially when trying to move or bear weight. The pain is often sharp and localized near the hip joint or upper thigh and may worsen with movement. Even shifting in bed can be agonizing for individuals with a broken bone in the hip. Immediate pain relief and stabilization are key parts of emergency care.

How Do Healthcare Providers Diagnose Hip Fractures?

A diagnosis usually begins with a physical exam and a review of how the injury occurred. Your healthcare provider may order:

 

An experienced orthopedic surgeon will use these tools to determine the type of hip fracture and create a treatment plan.

Hip Fracture Treatments

Most patients with hip fractures will require hip fracture surgery to repair or replace the damaged bone. The choice of treatment depends on the location and severity of the fracture:

  • Internal fixation: Metal screws and plates stabilize the bone for healing.
  • Partial hip replacement: Replaces the femoral head but leaves the natural socket intact.
  • Total hip replacement: Replaces both the femoral head and the hip socket and is typically used in complex cases or when arthritis is also present.
  • Non-surgical treatment: May be an option for non-displaced fractures in patients who cannot undergo surgery, though this is rare.
 

After surgery, most patients will begin physical therapy to restore movement and strength and to prevent complications like blood clots.

How Long Does it Take a Fractured Hip to Heal?

Recovery from a hip fracture varies based on the patient’s age, general health, and the type of hip fracture and treatment performed. Most patients stay in the hospital for a few days after surgery and then transition to a rehabilitation center or at-home care.

Healing typically takes 6 to 12 weeks, but regaining full mobility can take several months. Physical therapy plays a crucial role during this time to help restore function and independence.

What Not to Do with a Hip Fracture

During recovery, it’s important to avoid activities that could impair healing or cause re-injury:

  • Do not bear weight on the affected leg unless cleared by your provider.
  • Avoid bending the hip more than 90 degrees, especially after hip surgery.
  • Don’t skip prescribed physical therapy sessions.
  • Refrain from smoking, as it impairs blood flow and bone healing.
  • Don’t ignore signs of blood clots, such as swelling, redness, or chest pain.
 

Following your surgeon’s guidelines closely is essential to ensure your fracture heals properly and complications like avascular necrosis or infection are prevented.

Regaining Strength After a Fractured Hip

A fractured hip is a serious injury that often requires surgery, extended recovery time, and ongoing therapy. However, with expert orthopedic care and a personalized treatment plan, many patients return to their normal activities. Early diagnosis, proper surgical intervention, and dedicated rehabilitation make a significant difference in long-term outcomes.

If you or a loved one is experiencing hip pain or has recently suffered a fall or injury, our team at Orthopedic Specialists & Sports Medicine is here to help. With locations in Granville and Coshocton, OH, our board-certified orthopaedic surgeons provide expert evaluation and personalized care for femoral neck fractures, femoral head fractures, and other injuries of the hip joint. Schedule your appointment today!

Medically reviewed by Eric Erb, MD