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Hip Fracture And Physiotherapy Singapore

For appointments/enquiries, please SMS/Call/WhatsApp 96402670

A hip fracture is a crack, a break or fracture in the long thigh bone, near the hip joint. This kind of fracture is very commonly caused by osteoporosis, and is broken down into four different fracture patterns. These fractures can involve the femoral head, the femoral neck, subcapital or intra-capsular fractures, or subtrochanteric fractures involving the shaft of the femur below the lesser trochanter.

Hip fractures are either a fragility-type fracture, where it happens in patients with osteoporosis-weakened bones with mild trauma; or in healthy individuals caused by high trauma incidents such as motor vehicle accidents or falling from a height. Unfortunately, there is a high mortality rate (between 20-35%) with a hip fracture.

Signs and symptoms

Most of the patients whom we see are usually elderly, who had a fall (low fall or high trauma ones), present with pain and not able to weight bear on the affected leg or hip because of the pain. When we examine the patient, the affected hip joint is often in external rotation and flexed higher than the other leg.

Risk factors

For patients who sustains a hip fracture after a fall, most of the time they are likely to have sustained a pathological fracture, of which the most common causes are:

  1. Osteoporosis-weakened bones
  2. Presence of metabolic bone diseases e.g. Paget's disease, osteomalacia, osteopetrosis and osteogenesis imperfecta
  3. Cancer or tumor of the bone
  4. Cancer that had spread from another site
  5. Bone infection

Diagnosis

X-Rays of the hip fracture is usually straight forward, but in some cases, can't be seen until much later (maybe because the fracture is too small to be noticed) or seen via CT scan or MRI.

Management

Most of the time, surgery is treated via orthopedic surgical intervention, where the surgeon will implant an orthoses to support the fracture. This surgery is often visited by a lot of pain, and the elderly who had underwent this kind of surgery usually has decreased mobility. The thing is, post-operation immobilization can be more of a health risk than the surgery itself, so the doctors would often bring in the physiotherapiststo provide exercise therapy to train and increase the patient's mobility.

But if the risks are deemed too high by the doctors or the patient, or if the patient/family refuses operation, then the focus will shift to conservative management, managing pain relief, and preventing worsening of the fracture. Sometimes the doctors will request for traction to correct the alignment of the broken bones, and order for aggressive chest physiotherapy to prevent and reduce the risks of chest infections such as pneumonia as well as nurses to prevent the possibility of bed sores and deep vein thrombosis from developing.

Doctors prefer to prescribe plate and/or screws for low-level fractures (Garden 1 and 2), but for the elder patient with a displaced fracture, surgeons prefer to prescribe a bipolar hemiarthoplasty, which replaces the broken bones with a metal implant. This allows immediate mobility, which has much benefits in terms of chest clarity, moving up and about in the wards, and easier to discharge to home.

Complications

Of course, like all disorders and diseases, there are risks of complication. Some of the common ones include - mal-union (healing in an angulated manner), non-union (bone healed without joining back), non-healing (bone doesn't heal), and insufficient blood supply because of blood interruption leading to avascular necrosis.

Prognosis

A hip fracture is very stressful, painful and dangerous to the elderly patients. The risks of mortality is very high, about 10% within the first week. If the problem is untreated, patient will be bedbound and highly susceptible to pneumonia (of which, may kill) or the development of urinary tract infections or bed sores, of which, all can lead to mortality.

Untreated fractures of the hip have very poor prognosis.

Post operation

Our patients with hip fractures respond well to physiotherapy and exercise therapy post operatively. Those who develop chest issues are able to clear their chest with chest physiotherapy, as we slowly rehabilitate them to increase their strength and mobility, before discharge to their homes or their children's homes. Some even return back to their homes without the need for any carers.

Where to next?

  1. Make A Physiotherapy, Hand Therapy or Deep Tissue Release Singapore Appointment
  2. Arrange A CallBack or Make An E-Enquiry Here
  3. See the list of physiotherapy conditions we treat
  4. Return to Urbanrehab's Physiotherapy and Hand Therapy Singapore Home Page from our hip fracture page
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Our Physio & Rehab Expertise

Specialist Rehab Group works with specialist physiotherapists and specialist rehab therapists who are highly trained, qualified, experienced and passionate to provide high level of expert care to our patients.

Areas of specialization

  • physiotherapy: back and neck (spine), sports, shoulder, hip, knee, ankle
  • hand therapy: forearm, wrist, hand and fingers
  • podiatrist: leg, calf, ankle, foot and toes
  • read more on our specializations here

All our therapists are fully insured and registered with Allied Health Professions Council (AHPC) and Traditional Chinese Medicine Board (TCM). See our entire team here by location and specialization.

Initially, our specialist physiotherapists will carry out a thorough assessment, helping them to select the most appropriate treatment to help you recover. They then provide expert treatment for your pain as well as prescribing specific exercises to reduce your risk of re-injury and giving you a long term solution.

To call for inquiries or appointments, please contact us at:

SMS/Call/Whatsapp: 96402670

Email: ask@specialistrehabgroup.com

Tell A Friend About Us

We appreciate you as a patient and want you to know that the #1 way we grow as a clinic is through word of mouth referrals from valued patients like yourself.

We do not rely on advertising - instead, we prefer and appreciate the goodwill and positive reinforcement from patients.

When you have the opportunity, please take the time to tell your family, friends and physicians about the positive results and experience you have had in our clinic.

Thank you so much, and stay healthy!

SPECIALIST REHAB APPOINTMENTS & ENQUIRIES
Please Call/SMS/WhatsApp to
96402670, thanks!

Disclaimer
We are a wholly Singapore Private Limited group of licensed physiotherapists, hand therapists, podiatrists, chiropractors, sports massage therapists, clinical pilates practitioners and TCM physicians practicing in our scope of rehabilitation and its areas of specializations. As listed in our website are the list of services we provide our clients as referred by their medical doctors or by self referrals/word of mouth.

The range of rehabilitation results vary from patients to patients, depending on a variety of factors and reasons such as severity of condition, genetics, gender and age. However, we will still deliver the best evidence-based-practice of physiotherapy, hand therapy, TCM, sports training and deep tissue release therapy that we can deliver.

The information available on this site is for educational purposes only, if you need a full professional advise on physiotherapy, hand therapy and occupational therapy, please schedule an appointment with us by contacting our staff by Call/SMS/WhatsApp at 96402670, thanks!

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ask@specialistrehabgroup.com

Physio, Rehab &  Insurance

Your physio, hand therapy and rehab with us may be covered under your medical insurance or cashless - find out more here.

OUR SERVICES

Acupuncture TCM
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Physiotherapy Singapore
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Testimonials

Finally I know what I have, my pain decreased and now I'm back to work!

Derrick
Regional Sales Manager

OMG. The pain levels in my hands have dropped dramatically, about 60-70%

Deepak
Banker

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