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What is the treatment for hip fracture?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

My mother is 83 years old. She had a right hip fracture before three years, and she was fitted with a DHS implant. She has pain, and her fracture is not healed. Her mobility got restricted, and she uses a walker to walk. Before two years, she had severe pain, and she was unable to stand. She used a walker to walk as the implant got loosened. Her two out of four cortical screws came out. Some doctors suggest a total hip replacement. Please review her X-ray and advise a partial hip replacement (fitting only the implant stock and ball whiteout acetabulum cup). If yes, should a mono or a bipolar ball be favored? I am sending her X-ray.

Hi,

Welcome to icliniq.com.

I have gone through the attachment (attachment removed to protect patient identity). Her fracture has not healed, and her fixation has got failed. I suggest seeing an experienced anesthetist to assess her fitness for having an extended operation. As her hip is painful, it is best to do a hip replacement. A monopolar hip replacement would be the best option. This operation supports her life, and the decision should be made with her.

Medically reviewed byiCliniq medical review team

Published At March 9, 2018
Reviewed AtJuly 16, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Firas Arnaout
Dr. Firas Arnaout

Orthopedician and Traumatology

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