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Hip Fracture A hip fracture is a break near the top of your thighbone (femur) where it angles into your hip socket. Hip fractures are common among elderly men and women who fall. In most instances, hospitalization and surgery are required. Femoral Neck Fractures Metal screws Replacement of
part of the femur Total hip replacement If the fracture is incomplete or nondisplaced, your doctor may insert metal screws into the bone to hold it together while the fracture heals. This is called internal fixation. If the fracture is displaced or a piece of the broken bone is damaged, your doctor may remove the head and neck of the femur and replace them with a metal prosthesis. This is known as hemiarthroplasty. This surgery involves replacing your upper femur and the socket in your pelvic bone with a prosthesis. Intertrochanteric region fractures To repair this type of fracture, your doctor usually inserts a metal screw (hip compression screw) across the fracture. The screw is attached to a plate that runs down alongside the femur and is attached with other screws to help keep the bone stable. As the bone heals, the screw allows the bone pieces to compress, so the edges grow together. LifeART Collection Images Copyright © 1989-2001 by Lippincott Williams & Wilkins, Baltimore, MD