Hip Fracture Fixation with Screws/Pins: A Complete Guide

Introduction to Hip Fracture Fixation

Hip fractures are serious injuries, especially common among older adults due to osteoporosis or falls. When a hip bone breaks, surgery is often required to stabilize it and allow proper healing. One of the most effective treatments is hip fracture fixation using screws or pins, a procedure designed to hold the fractured bone in place while it heals.

This surgical method is particularly useful for certain types of hip fractures where the bone can still be realigned. Unlike total hip replacement, fixation preserves the patient's natural bone, making recovery smoother for many individuals. The goal is to restore mobility, reduce pain, and prevent long-term complications like joint deformity or chronic instability.

If you or a loved one is facing this procedure, understanding how it works, what to expect during recovery, and its benefits can help ease anxiety and prepare for a successful outcome.

Types of Hip Fractures Requiring Fixation

Not all hip fractures are the same—some require fixation with screws or pins, while others may need partial or total hip replacement. The most common fractures treated with fixation include:

• Femoral Neck Fractures: Occur just below the ball of the hip joint. If the bone is not displaced, screws or pins can stabilize it effectively.
• Intertrochanteric Fractures: These breaks happen between the femoral neck and the long part of the thigh bone. They often respond well to screw fixation.
• Subtrochanteric Fractures: Located further down the femur, these may require longer screws or rods for stabilization.

Doctors use imaging tests like X-rays or MRIs to determine the fracture type and whether fixation is suitable. Age, bone density, and overall health also play a role in deciding the best treatment approach.

What is Hip Fracture Fixation with Screws/Pins?

Hip fracture fixation is a surgical technique where metal screws, pins, or plates are used to hold broken bone fragments in place. Unlike joint replacement, this method keeps the patient’s natural bone intact while promoting proper alignment during healing.

The surgeon makes small incisions near the hip, inserts the screws or pins under X-ray guidance, and secures them to stabilize the fracture. The hardware remains in place unless it causes discomfort later. This approach is minimally invasive compared to hip replacement, leading to shorter recovery times for suitable candidates.

This procedure is ideal for patients with good bone quality and non-displaced fractures. It allows for faster weight-bearing in many cases, helping patients regain mobility sooner.

Procedure: How Hip Fracture Fixation is Performed

The surgery typically follows these steps:

1. Preparation: The patient receives general or spinal anesthesia. The hip area is cleaned and sterilized.
2. Incision: A small cut is made near the fracture site.
3. Realignment: The surgeon carefully repositions the broken bone fragments.
4. Fixation: Screws, pins, or plates are inserted to hold the bone in place. Imaging ensures proper placement.
5. Closure: The incision is stitched, and a bandage is applied.

The surgery usually takes 1-2 hours, and patients may stay in the hospital for a few days. Physical therapy begins soon after to aid recovery.

Benefits of Using Screws/Pins for Hip Fracture Repair

Choosing fixation over hip replacement offers several advantages:

• Preserves Natural Bone: No joint removal, maintaining more of the patient’s anatomy.
• Faster Recovery: Many patients can bear weight sooner than with replacement.
• Less Invasive: Smaller incisions mean reduced infection risks and scarring.
• Lower Complication Risk: No risk of prosthetic joint issues (e.g., dislocation or wear-and-tear).

However, not all fractures are suitable for fixation—severe breaks or osteoporosis may require alternative treatments.

Recovery & Rehabilitation After Surgery

Recovery varies but generally follows this timeline:

• First Few Days: Pain management, gentle movement with assistance.
• 1-2 Weeks: Physical therapy begins to improve strength and flexibility.
• 6-12 Weeks: Gradual return to walking without support.

Doctors may recommend weight-bearing restrictions initially. Full recovery can take 3-6 months, depending on age and health. Follow-up X-rays ensure proper healing.

Potential Risks & Complications

While generally safe, possible risks include:

• Infection: Rare but possible at the incision site.
• Non-Union: The bone may not heal properly, requiring additional surgery.
• Hardware Issues: Screws/pins may loosen or irritate surrounding tissue.
• Blood Clots: Mobility restrictions increase clot risk early on.

Following post-op instructions minimizes these risks.

FAQs About Hip Fracture Fixation

Conclusion: When to Seek Medical Help

If you experience severe hip pain after a fall or injury, seek immediate medical attention. Early diagnosis and treatment improve outcomes. Hip fracture fixation with screws/pins is a reliable option for many patients, offering a quicker return to daily activities compared to joint replacement.

Always consult an orthopedic specialist to determine the best treatment for your specific fracture and health condition.